Individual provider Active NPI

Shrinkhala Swaroop, RN, FNP-C

  • Primary Care Nurse Practitioner
  • Brookline, MA
National Provider Identifier
1457196651
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2310207 Issued in MA
Practice address
1180 Beacon St Ste 6B
Brookline, MA 02446-3806
Phone
(781) 770-4064
NPI assigned
Jun 28, 2024
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN2310207 MA Primary
Registered Nurse 163W00000X RN2310207 MA

Addresses

Primary practice location

1180 Beacon St Ste 6B
Brookline, MA 02446-3806

Mailing address

800 Washington St
Boston, MA 02111-1552

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260120001474 MA Practitioner - Nurse Practitioner 8628555851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1180 Beacon St
Suite 6B
Brookline, MA 02446-3806

1180 Beacon St
Suite 6B
Brookline, MA 02446-3872

1660 Neshoba Oak LN E
Germantown, TN 38138-1003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2310207MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Holtzman Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Holtzman Medical Specialty Services Past Accepting new patients

Locations

1180 Beacon St
Ste 6B
Brookline, MA 02446
Phone (617) 735-8868

879 Main St
Weymouth, MA 02190
Phone (781) 770-4064

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16324/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shrinkhala.swaroop.1@16324.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1457196651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 6B",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "781-770-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAROOP",
        "first_name": "SHRINKHALA",
        "credential": "RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2310207",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2310207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.