Nancy T Callan, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN142275 Issued in MA

Practice address

132 Central Street
Ste 116
Foxboro, MA 02035

Phone

(508) 543-6306

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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.

• Pediatric Specialists of Foxborough and Wrentham

  • Pediatrics Physician
  • Foxboro, MA
  • NPI 1023175908

  Pediatrics

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2011.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1477573822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CENTRAL ST",
            "address_2": "SUITE 116",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352433",
            "telephone_number": "508-543-6306",
            "fax_number": "508-543-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CENTRAL STREET",
            "address_2": "STE 116",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "02035",
            "telephone_number": "508-543-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAN",
        "first_name": "NANCY",
        "middle_name": "T",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "142275",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN142275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NP9845",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanita Bunjo, RN
• Cara A Burdette, SLP
• Kathleen Burns, L.M.H.C.
• Milton Burtt, RPH
• Kathleen A Callahan, M.S., CCC-SLP
• Danielle Sara Calliontzis
• Jonathan Calzini-Castro, CPT
• Marlene Cantor, LICSW
• Caritas Foxboro
• Caritas Good Samaritan Medical Center

• All providers in Foxboro, MA
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.