Theresa Kirby

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

205111 Issued in MA

Legal business name

THERESA KIRBY

Practice address

119 Robbins St
Milton, MA 02186-2535

Phone

(617) 905-3216

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Miss Theresa Agatha Kirby, REGISTERED NURSE

Title

RN

Phone

(617) 905-3216

Specialties & licenses 1

Addresses

Other names 1

• theresa kirby Doing business as

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1376089169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 ROBBINS ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862535",
            "telephone_number": "617-905-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 ROBBINS ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862535",
            "telephone_number": "617-905-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA KIRBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "AGATHA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "617-905-3216",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": "205111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "theresa kirby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Milton, MA
• Providers in Milton, MA by specialty
• Adult Care Home Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.