Active NPI
Richard P Weintraub, NP
- Nurse Practitioner
- Boston, MA
National Provider Identifier
1376562652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 252018
- Practice address
- 33 Harvard Way
Harvard University Health Service
Boston, MA 02163-1011 - Phone
- (617) 495-6455
- Fax
- (617) 495-8079
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 252018 | MA | Primary |
Addresses
Primary practice location
33 Harvard Way
Harvard University Health Service
Boston, MA 02163-1011
Mailing address
75 Mount Auburn St
Harvard University Health Service
Cambridge, MA 02138-4960
Phone (617) 495-6455
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252018 | MA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1376562652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 MOUNT AUBURN ST",
"address_2": "HARVARD UNIVERSITY HEALTH SERVICE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384960",
"telephone_number": "617-495-6455",
"fax_number": "617-495-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 HARVARD WAY",
"address_2": "HARVARD UNIVERSITY HEALTH SERVICE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021631011",
"telephone_number": "617-495-6455",
"fax_number": "617-495-8079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINTRAUB",
"first_name": "RICHARD",
"middle_name": "P",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "252018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.