Active NPI
Melody Nguyen
- Pediatric Nurse Practitioner
- Groton, MA
National Provider Identifier
1407241201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN2270549
- Practice address
- 22 Hillside Ave
Groton, MA 01450-1284 - Phone
- (978) 448-3388
- NPI assigned
- Mar 30, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN2270549 | MA | Primary |
Addresses
Primary practice location
22 Hillside Ave
Groton, MA 01450-1284
Mailing address
22 Hillside Ave
Groton, MA 01450-1284
Phone (978) 448-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150728003988 | MA | Order and Referring Only - Nurse Practitioner | 7315251998 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1407241201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 HILLSIDE AVE",
"city": "GROTON",
"state": "MA",
"postal_code": "014501284",
"telephone_number": "978-448-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 HILLSIDE AVE",
"city": "GROTON",
"state": "MA",
"postal_code": "014501284",
"telephone_number": "978-448-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MELODY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2270549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groton, MA
- Nashoba Valley Hearing LLC
- Nashoba Vision Associates Inc
- Natalie Dirubbo, Psy.D PLLC
- New England Oral and Facial Surgery
- New England Stairlifts (New England Stairlifts and Boston Walk-in Bath)
- Jean Marie Nordin, DDS
- Michael O'Neil, O.D.
- Dana Katter Oliver, N.P.
- Rebbecca L Olszak, MD
- Joanna Mary Orlando
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.