Individual provider Active NPI

Nadege Jean Claude

  • Adult Companion
  • Boston, MA
National Provider Identifier
1346080611
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
CC310732 Issued in MA
Practice address
1690A Dorchester Ave
Boston, MA 02122-1335
Phone
(617) 991-4570
Fax
(617) 991-4570
NPI assigned
May 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
Homemaker 376J00000X
Nurse's Aide 376K00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X CC310732 MA Primary

Addresses

Primary practice location

1690A Dorchester Ave
Boston, MA 02122-1335

Mailing address

PO Box 620
Malden, MA 02148-0005
Phone (617) 991-4570

Other practice location 1

120 Mountain Ave
Malden, MA 02148-3700
Phone (617) 991-4570

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

State licenses

LicenseStateTypeSpecialty
CC310732MAMDAdult Companion

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1346080611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021480005",
            "telephone_number": "617-991-4570",
            "fax_number": "617-991-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690A DORCHESTER AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021221335",
            "telephone_number": "617-991-4570",
            "fax_number": "617-991-4570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021483700",
            "country_code": "US",
            "telephone_number": "617-991-4570",
            "fax_number": "617-991-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN CLAUDE",
        "first_name": "NADEGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "MA",
            "license": "CC310732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.