Active NPI
Gaia Bagordo
- Plastic Surgery Registered Nurse
- Jamaica Plain, MA
National Provider Identifier
1386401842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Registered Nurse
- License
- RN2351668
- Practice address
- 11 Round Hill St
Jamaica Plain, MA 02130-1205 - Phone
- (857) 340-8897
- NPI assigned
- Mar 1, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Registered Nurse | 163WS0121X | RN2351668 | MA | Primary |
Addresses
Primary practice location
11 Round Hill St
Jamaica Plain, MA 02130-1205
Mailing address
11 Round Hill St
Jamaica Plain, MA 02130-1205
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 |
|---|---|---|---|
| RN2351668 | MA | MD | Plastic Surgery Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1386401842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ROUND HILL ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021301205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ROUND HILL ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021301205",
"telephone_number": "857-340-8897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGORDO",
"first_name": "GAIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "MA",
"license": "RN2351668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.