Active NPI
Marsha Marie Frye-Moquin, RN, MSW, LICSW, CCM
- Case Management Registered Nurse
- GT Barrington, MA
National Provider Identifier
1386149136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN186063
- Practice address
- 29 Lewis Ave
GT Barrington, MA 01230-1796 - Phone
- (413) 854-9636
- Fax
- (413) 854-9897
- NPI assigned
- Mar 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1027631 | MA | |
| Case Management Registered Nurse | 163WC0400X | RN186063 | MA | Primary |
Addresses
Primary practice location
29 Lewis Ave
GT Barrington, MA 01230-1796
Mailing address
29 Lewis Ave
GT Barrington, MA 01230-1796
Phone (413) 854-9636
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1027631 | MA | MD | Social Worker |
| RN186063 | MA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1386149136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 LEWIS AVE",
"city": "GT BARRINGTON",
"state": "MA",
"postal_code": "012301796",
"telephone_number": "413-854-9636",
"fax_number": "413-854-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 LEWIS AVE",
"city": "GT BARRINGTON",
"state": "MA",
"postal_code": "012301796",
"telephone_number": "413-854-9636",
"fax_number": "413-854-9897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYE-MOQUIN",
"first_name": "MARSHA",
"middle_name": "MARIE",
"credential": "RN, MSW, LICSW, CCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "1027631",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MA",
"license": "RN186063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in GT Barrington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.