Active NPI
Jessica Grant Hauck, APRN
- Family Nurse Practitioner
- South Hamilton, MA
National Provider Identifier
1396409488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2266142
- Practice address
- 114 Lake Shore Ave
South Hamilton, MA 01982-2604 - Phone
- (508) 284-9937
- NPI assigned
- Oct 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2266142 | MA | Primary |
Addresses
Primary practice location
114 Lake Shore Ave
South Hamilton, MA 01982-2604
Mailing address
114 Lake Shore Ave
South Hamilton, MA 01982-2604
Phone (508) 284-9937
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 |
|---|---|---|---|
| RN2266142 | MA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1396409488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 LAKE SHORE AVE",
"city": "SOUTH HAMILTON",
"state": "MA",
"postal_code": "019822604",
"telephone_number": "508-284-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 LAKE SHORE AVE",
"city": "SOUTH HAMILTON",
"state": "MA",
"postal_code": "019822604",
"telephone_number": "508-284-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUCK",
"first_name": "JESSICA",
"middle_name": "GRANT",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2266142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Hamilton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.