Individual provider Active NPI

Maria Eden Aguilar Gianan, NP

  • Adult Health Nurse Practitioner
  • Dedham, MA
National Provider Identifier
1366492662
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
175294 Issued in MA
Practice address
24 Waldo St
Dedham, MA 01730-1114
Phone
(781) 724-7348
Fax
(781) 329-0306
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 175294 MA Primary

Addresses

Primary practice location

24 Waldo St
Dedham, MA 01730-1114

Mailing address

515 Providence Hwy
Dedham, MA 02026-6811
Phone (781) 724-7348

Other names 1

  • Miss Eden Aguilar Gianan Professional name

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
I20040728000952 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 9931179827 Practice locations: Barnstable, MA; Dedham, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Union PL
Dedham, MA 02026-4437
Phone (781) 724-7348

24 Waldo St
Dedham, MA 02026-2414

275 Millway
Barnstable, MA 02630-1102
Phone (781) 724-7348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
175294MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Psychiatric Service Past Accepting new patients
North Suffolk Community Services Inc. PastSince Oct 20, 1997 Accepting new patients
Senior Healthcare Associates Inc PastSince May 28, 2003 Accepting new patients
Nova Psychiatric Services, PC PastSince Apr 3, 2022 Accepting new patients

Organizations & group practices 4

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1366492662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PROVIDENCE HWY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266811",
            "telephone_number": "781-724-7348",
            "fax_number": "781-329-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WALDO ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-724-7348",
            "fax_number": "781-329-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANAN",
        "first_name": "MARIA EDEN",
        "middle_name": "AGUILAR",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "175294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDEN",
            "last_name": "GIANAN",
            "middle_name": "AGUILAR",
            "prefix": "MISS",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dedham, MA

Sources for this page

Verify at the official NPI Registry.