Active NPI
Carolyn Virginia Hegan Brennan, RN
- Nursing Care Agency
- Shrewsbury, MA
National Provider Identifier
1477383891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- RN187542
- Practice address
- 18 Ivy Path
Shrewsbury, MA 01545-1322 - Phone
- (508) 667-4653
- NPI assigned
- Aug 2, 2024
- Last updated
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | RN187542 | MA | Primary |
Addresses
Primary practice location
18 Ivy Path
Shrewsbury, MA 01545-1322
Mailing address
18 Ivy Path
Shrewsbury, MA 01545-1322
Phone (508) 667-4653
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN187542 | MA | MD | Nursing Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriver Nursing Services, Inc | Nursing Care | Current | 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, 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": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1477383891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 IVY PATH",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015451322",
"telephone_number": "508-667-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 IVY PATH",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015451322",
"telephone_number": "508-667-4653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "CAROLYN",
"middle_name": "VIRGINIA HEGAN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MA",
"license": "RN187542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.