Active NPI
Margaret P Rudd Arieta, APRN, PPNP
- Pediatrics Physician
- Mansfield, MA
National Provider Identifier
1376579615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 164764
- Practice address
- 120 Otis St
Mansfield, MA 02048-2054 - Phone
- (508) 572-9939
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 169769 | MA | |
| Pediatric Registered Nurse | 163WP0200X | 169769 | MA | |
| Pediatrics Physician | 208000000X | 164764 | MA | Primary |
Addresses
Primary practice location
120 Otis St
Mansfield, MA 02048-2054
Mailing address
120 Otis St
Mansfield, MA 02048-2054
Phone (508) 572-9939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP9835 | Other | MA | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169769 | MA | MD | Home Health Registered Nurse |
| 164764 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Specialists of Foxborough and Wrentham | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Foxboro, MA
- NPI 1023175908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1376579615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 OTIS ST",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482054",
"telephone_number": "508-572-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 OTIS ST",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482054",
"telephone_number": "508-572-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD ARIETA",
"first_name": "MARGARET",
"middle_name": "P",
"credential": "APRN, PPNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MA",
"license": "169769",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "MA",
"license": "169769",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "164764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NP9835",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.