Active NPI
Extraordinary Health Services LLC
- Community/Behavioral Health Agency
- East Wareham, MA
National Provider Identifier
1396317632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EXTRAORDINARY HEALTH SERVICES LLC
- Practice address
- 16 Bartlett LN
East Wareham, MA 02538-1202 - Phone
- (781) 831-1760
- NPI assigned
- Jul 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Feeney, FNP-BC
- Title
- Owner
- Phone
- (781) 831-1760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
16 Bartlett LN
East Wareham, MA 02538-1202
Mailing address
16 Bartlett LN
East Wareham, MA 02538-1202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- East Wareham, MA
- NPI 1316019011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676505600000",
"number": "1396317632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BARTLETT LN",
"city": "EAST WAREHAM",
"state": "MA",
"postal_code": "025381202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 BARTLETT LN",
"city": "EAST WAREHAM",
"state": "MA",
"postal_code": "025381202",
"telephone_number": "781-831-1760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTRAORDINARY HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-15",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A",
"authorized_official_last_name": "FEENEY",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-831-1760",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.