Justin Creaser, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

RN283529 Issued in MA

Practice address

55 Oak St
Walpole, MA 02081-2717

Phone

(413) 530-7457

NPI assigned

Aug 4, 2022

Last updated

Aug 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1417684937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OAK ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OAK ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812717",
            "telephone_number": "413-530-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREASER",
        "first_name": "JUSTIN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "MA",
            "license": "RN283529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vienna Corello-Soares
• Kelly Cornell
• Joanne Coughlin, RN
• Katherine Cowles, MSW
• Michael Coyne
• CRNC LLC
• Emma Crockford
• Christina Crowley
• CST Care Services Inc (BrightStar Healthcare)
• Qiqi Cui, OD

• Infusion Therapy Registered Nurse in Walpole, MA
• Providers in Walpole, MA by specialty
• Infusion Therapy Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.