Active NPI
Robert Michael Desimone, LAT, ATC, EMT, RN
- Registered Nurse
- Billerica, MA
National Provider Identifier
1336101435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 269340
- Practice address
- 8 Weathervane Rd
Billerica, MA 01821-5658 - Phone
- (781) 696-3538
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 842787 | MA | |
| Athletic Trainer | 2255A2300X | 1501 | MA | |
| Registered Nurse | 163W00000X | 269340 | MA | Primary |
Addresses
Primary practice location
8 Weathervane Rd
Billerica, MA 01821-5658
Mailing address
8 Weathervane Rd
Billerica, MA 01821-5658
Phone (781) 696-3538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 842787 | MA | MD | Basic Emergency Medical Technician |
| 269340 | MA | MD | Registered Nurse |
| 1501 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1336101435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 WEATHERVANE RD",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018215658",
"telephone_number": "781-696-3538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 WEATHERVANE RD",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018215658",
"telephone_number": "781-696-3538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIMONE",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LAT, ATC, EMT, RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "MA",
"license": "842787",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "1501",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "269340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billerica, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.