Individual provider Active NPI

Callista Everett, NP

  • Family Nurse Practitioner
  • Plymouth, MA
National Provider Identifier
1346915022
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2265674 Issued in MA
Practice address
1 Bump Pond Road
Plymouth, MA 02360
Phone
(508) 291-2441
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2265674 MA Primary

Addresses

Primary practice location

1 Bump Pond Road
Plymouth, MA 02360

Mailing address

8 Hallick Rd
Plymouth, MA 02360-4206
Phone (508) 944-4883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915002152 MA Practitioner - Nurse Practitioner 9234535311 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Falmouth Hospital CurrentSince Nov 15, 2021 Accepting new patients
South Shore Health Express, Inc CurrentSince Oct 1, 2021 Accepting new patients
South Shore Health Express, Inc Current Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Dec 1, 2021 Accepting new patients
South Shore Health Express, Inc CurrentSince Oct 1, 2021 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Dec 1, 2021 Accepting new patients

Locations

170 Bedford St
Abington, MA 02351
Phone (781) 626-5700

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

5 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 495-8300

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

117 Old Church St
Pembroke, MA 02359
Phone (781) 626-5170

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1346915022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HALLICK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604206",
            "telephone_number": "508-944-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUMP POND ROAD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-291-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "CALLISTA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2265674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.