Marie Jessy Edouard, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN234047 Issued in MA

Practice address

Upham'S Corner Health Center
415 Columbia Rd
Dorchester, MA 02125

Phone

(617) 287-8000

Fax

(617) 287-0129

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marie Jessy Edouard Other name

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1457831935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UPHAM'S CORNER HEALTH CENTER",
            "address_2": "500 COLUMBIA RD",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02125",
            "telephone_number": "617-287-8000",
            "fax_number": "617-287-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPHAM'S CORNER HEALTH CENTER",
            "address_2": "415 COLUMBIA RD",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02125",
            "telephone_number": "617-287-8000",
            "fax_number": "617-287-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOUARD",
        "first_name": "MARIE JESSY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MA",
            "license": "RN234047",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN234047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "EDOUARD",
            "middle_name": "JESSY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cristina Maria Earle
• Brenda Margot Echeverry Alperin, MA
• Samantha Rae Ecker, MS, CCC-SLP
• Frederica Davis Eder, OT
• Edline Group Incorporated
• Paula Minnette Edwards-Bagwell
• Alexus Edwards
• Rori Gorham Edwards
• Efficacy Inc.
• Sandra L Ehlinger, PH.D.

• Registered Nurse in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.