The Center for Aesthetic Medicine , LLC , D.B.a. Provider House Calls

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN264722 Issued in MA

Legal business name

THE CENTER FOR AESTHETIC MEDICINE , LLC , D.B.A. PROVIDER HOUSE CALLS

Doing business as

Provider House Calls, LLC

Practice address

20 Hampton Ave Ste 150
Northampton, MA 01060

Phone

(413) 527-7850

NPI assigned

Feb 21, 2018

Organization subpart

No

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

Authorized official

Name

Tricia Lynn Carey, NP

Title

Owner

Phone

(413) 527-7850

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Provider House Calls, LLC Doing business as

Locations

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1396246831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAMPTON AVE STE 150",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAMPTON AVE STE 150",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-527-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR AESTHETIC MEDICINE , LLC , D.B.A. PROVIDER HOUSE CALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-527-7850",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN264722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110078806A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provider House Calls, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Provider House Calls, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Health Nurse Practitioner in Northampton, MA
• Providers in Northampton, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.