Active NPI
Alyssa Grace Nieves
- Student in an Organized Health Care Education/Training Program
- Cambridge, MA
National Provider Identifier
1427889930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 10272369588
- Practice address
- 1 Church St
Cambridge, MA 02138-3715 - Phone
- (617) 661-2508
- NPI assigned
- Aug 8, 2024
- Last updated
- Aug 8, 2024
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 10272369588 | MD | Primary |
Addresses
Primary practice location
1 Church St
Cambridge, MA 02138-3715
Mailing address
220 Hingham St
Rockland, MA 02370-1274
Phone (240) 855-9986
Other names 1
- Alex Grace Nieves
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 |
|---|---|---|---|
| 10272369588 | MD | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1427889930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 HINGHAM ST",
"city": "ROCKLAND",
"state": "MA",
"postal_code": "023701274",
"telephone_number": "240-855-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHURCH ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383715",
"telephone_number": "617-661-2508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "ALYSSA",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MD",
"license": "10272369588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEX",
"last_name": "NIEVES",
"middle_name": "GRACE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.