Active NPI
Nona M Girardi, M.D.
- Family Medicine Physician
- Roxbury, MA
National Provider Identifier
1366474884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 155336
- Practice address
- 45 Dimock St
Roxbury, MA 02119-1208 - Phone
- (617) 442-8800
- Fax
- (617) 541-8472
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 155336 | MA | Primary |
Addresses
Primary practice location
45 Dimock St
Roxbury, MA 02119-1208
Mailing address
913 Estates Dr
Los Alamos, NM 87544-2785
Phone (505) 412-0670
Other practice location 1
913 Estates Dr
Los Alamos, NM 87544-2785
Phone (505) 412-0670
Other practice location 2
550 E Washington Blvd
Crescent City, CA 95531-8160
Phone (505) 412-0670
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NMAAA0304 | Other | MEDICARE PTAN | |
| 000F6627 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro Family Health | Past | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Wagon Mound, NM
- NPI 1538324223
-
- Federally Qualified Health Center (FQHC)
- Espanola, NM
- NPI 1780689034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1366474884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 ESTATES DR",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442785",
"telephone_number": "505-412-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 DIMOCK ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021191208",
"telephone_number": "617-442-8800",
"fax_number": "617-541-8472"
}
],
"practiceLocations": [
{
"address_1": "913 Estates Dr",
"address_purpose": "LOCATION",
"city": "Los Alamos",
"state": "NM",
"postal_code": "875442785",
"country_code": "US",
"telephone_number": "505-412-0670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 E Washington Blvd",
"address_purpose": "LOCATION",
"city": "Crescent City",
"state": "CA",
"postal_code": "955318160",
"country_code": "US",
"telephone_number": "505-412-0670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIRARDI",
"first_name": "NONA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "155336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "NMAAA0304",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000F6627",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.