Christine C Squillace, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

99704 Issued in MA

Practice address

25 Thatcher Rd
Gloucester, MA 01930-3138

Phone

(978) 281-7006

NPI assigned

Jul 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366640757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 THATCHER RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303138",
            "telephone_number": "978-281-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 THATCHER RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303138",
            "telephone_number": "978-281-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUILLACE",
        "first_name": "CHRISTINE",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "99704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Registered Nurse in Gloucester, MA
• Providers in Gloucester, MA by specialty
• General Practice Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.