Individual provider Active NPI

Marsha Marie Frye-Moquin, RN, MSW, LICSW, CCM

  • Case Management Registered Nurse
  • GT Barrington, MA
National Provider Identifier
1386149136
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN186063 Issued in MA
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

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1027631MAMDSocial Worker
RN186063MAMDCase 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.

Verify at the official NPI Registry.