Individual provider Active NPI

Sandra C Reilly, WHNP

  • Women's Health Nurse Practitioner
  • Newton, MA
National Provider Identifier
1477854644
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN212885 Issued in MA
Practice address
2000 Washington St
Suite 764
Newton, MA 02462-1650
Phone
(617) 965-7800
Fax
(617) 965-4581
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN212885 MA Primary

Addresses

Primary practice location

2000 Washington St
Suite 764
Newton, MA 02462-1650

Mailing address

2000 Washington St
Suite 764
Newton, MA 02462-1650
Phone (617) 965-7800

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
I20170307001939 MA Practitioner - Nurse Practitioner 8628236320 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN212885MAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellesley Women'S Care, PC CurrentSince Feb 1, 2017 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients

Locations

2000 Washington St
Ste 764
Newton Lower Falls, MA 02462
Phone (617) 965-7800

Interoperability endpoints

  • Direct secure messaging: reilly.sandra.wwcare@direct.partners.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1477854644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 764",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-965-7800",
            "fax_number": "617-965-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 764",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-965-7800",
            "fax_number": "617-965-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "SANDRA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN212885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.