Individual provider Active NPI

Nicole I Giardino, APRN, FNP-C

  • Family Nurse Practitioner
  • Plymouth, MA
National Provider Identifier
1376961292
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
274408 Issued in MA
Practice address
1 Scobee Cir
Plymouth, MA 02360-4887
Phone
(508) 747-0711
NPI assigned
Mar 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 274408 MA
Family Nurse Practitioner 363LF0000X 274408 MA Primary

Addresses

Primary practice location

1 Scobee Cir
Plymouth, MA 02360-4887

Mailing address

1 Scobee Cir
Plymouth, MA 02360-4887
Phone (508) 747-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141013001531 MA Practitioner - Nurse Practitioner 6002036159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Dermatology Associates PCGroup PAC ID 3072403799, 84 clinicians

Practice addresses (Care Compare)

75 Washington St
Norwell, MA 02061-1795
Phone (781) 878-6495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dermatology Associates, PC Current Accepting new patients
South Shore Skin Center, LLC CurrentSince Aug 8, 2014 Accepting new patients
Neda at North Shore PC CurrentSince Sep 1, 2019 Accepting new patients

Locations

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

75 Washington St
Ste 200
Norwell, MA 02061
Phone (781) 878-6495

75 Washington St
Norwell, MA 02061

75 Washington St
Ste 20
Norwell, MA 02061

1 Scobee Cir
Plymouth, MA 02360
Phone (508) 747-0711

1 Scobee Cir
Ste 3
Plymouth, MA 02360
Phone (508) 747-0711

Interoperability endpoints

  • Direct secure messaging: ngiardino@southshoreskin.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1376961292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCOBEE CIR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604887",
            "telephone_number": "508-747-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCOBEE CIR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604887",
            "telephone_number": "508-747-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARDINO",
        "first_name": "NICOLE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "274408",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "274408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.