Active NPI
Cheryl Ann Bliss, NP
- Adult Health Nurse Practitioner
- North Quincy, MA
National Provider Identifier
1457465817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 176538
- Practice address
- 110 W Squantum St
North Quincy, MA 02171-2122 - Phone
- (617) 376-3000
- Fax
- (617) 690-6902
- NPI assigned
- Aug 19, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 176538 | MA | Primary |
Addresses
Primary practice location
110 W Squantum St
North Quincy, MA 02171-2122
Mailing address
110 W Squantum St
North Quincy, MA 02171-2122
Phone (617) 376-3000
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medoptions Behavioral Health Assoc, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Old Saybrook, CT
- NPI 1588604060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1457465817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W SQUANTUM ST",
"city": "NORTH QUINCY",
"state": "MA",
"postal_code": "021712122",
"telephone_number": "617-376-3000",
"fax_number": "617-690-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W SQUANTUM ST",
"city": "NORTH QUINCY",
"state": "MA",
"postal_code": "021712122",
"telephone_number": "617-376-3000",
"fax_number": "617-690-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLISS",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "176538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.