Pauline Eteng

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN281216 Issued in MA

Practice address

16 Sweet Grass LN
Holliston, MA 01746-2532

Phone

(774) 217-0608

NPI assigned

Oct 30, 2015

Last updated

Oct 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Commonwealth of MassachusettsGroup PAC ID 8820906860, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Collegial Psychiatry and Behavioral Medicine,Inc

  • Adult Mental Health Clinic/Center
  • Worcester, MA
  • NPI 1225773518
  Medicare reassignment NPD Authorized official
• The Commonwealth of Massachusetts

  dba Worcester Recovery Center & Hospital group practice

  • Psychiatry Physician
  • Worcester, MA
  • NPI 1275680456
  Medicare reassignment Care Compare group
• Devens Treatment & Recovery Center, LLC

  dba Taravista Behavioral Health

  • Psychiatry Physician
  • Devens, MA
  • NPI 1811473267
  Medicare reassignment NPD
• Medical Community Psychotherapy LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Framingham, MA
  • NPI 1346720646

  Psychiatric/Mental Health, Adult

  Medicare reassignment NPD

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1487026399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BELMONT STREET",
            "address_2": "WORCESTER RECOVERY CENTER AND HOSPITAL",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01604",
            "telephone_number": "508-368-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SWEET GRASS LN",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462532",
            "telephone_number": "774-217-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETENG",
        "first_name": "PAULINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN281216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond Massabni PC (Holliston Dental Associates)
• Devonta Rayshaun Edwards, LICSW
• Michelle E Eisan-Smith, PH.D.
• Linda Eisenberg, LICSW
• Enjoy Speech Therapy, LLC
• Andrea Brown Falzone, LMHC
• Maryam Fatouraei, OD
• John Steven Fields, PT
• Holly Fischer-Engel, LICSW
• Kristin Le Lievre Fonseca, L.M.T

• Adult Psychiatric/Mental Health Registered Nurse in Holliston, MA
• Providers in Holliston, MA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.