Active NPI
Lawrence A Tendo
- Registered Nurse
- Revere, MA
National Provider Identifier
1376809103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2270380
- Practice address
- 65 Winthrop Ave # 1
Revere, MA 02151-5024 - Phone
- (617) 905-4724
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2270380 | MA | Primary |
Addresses
Primary practice location
65 Winthrop Ave # 1
Revere, MA 02151-5024
Mailing address
65 Winthrop Ave # 1
Revere, MA 02151-5024
Phone (617) 905-4724
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 |
|---|---|---|---|
| RN2270380 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1376809103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 WINTHROP AVE # 1",
"city": "REVERE",
"state": "MA",
"postal_code": "021515024",
"telephone_number": "617-905-4724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 WINTHROP AVE # 1",
"city": "REVERE",
"state": "MA",
"postal_code": "021515024",
"telephone_number": "617-905-4724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENDO",
"first_name": "LAWRENCE",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2270380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.