Mairead Christina Wargovich, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2317676 Issued in MA

Practice address

Beth Israel Deaconess Specialty Group
110 Long Pond Road
Plymouth, MA 02360-8710

Phone

(508) 210-5920

NPI assigned

Oct 30, 2021

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Jordan Physician Associates, Inc.

  • Family Medicine Physician
  • Plymouth, MA
  • NPI 1538145131
  Medicare reassignment NPD
• Jordan Physician Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Plymouth, MA
  • NPI 1194263186
  NPD
• Regis College

  • Dental Clinic/Center
  • Newton, MA
  • NPI 1982171849
  NPD (past)

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1487318994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BETH ISRAEL DEACONESS SPECIALTY GROUP",
            "address_2": "83 ROUTE 130",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026648710",
            "telephone_number": "508-210-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BETH ISRAEL DEACONESS SPECIALTY GROUP",
            "address_2": "110 LONG POND ROAD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608710",
            "telephone_number": "508-210-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARGOVICH",
        "first_name": "MAIREAD",
        "middle_name": "CHRISTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-30",
        "last_updated": "2022-06-16",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2317676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Zuniga Walsh, M.S.-C.C.C.
• Wander Well Counseling, PLLC
• Anne Ward
• Taylor Bridget Ward
• James P Wargovich, M.D.
• Giana Warner
• Steven Warren Jr., RN
• Brandon Edward Washburn
• Debra Bates Washburn, LICSW
• Water Side Recovery, LLC

• Nurse Practitioner in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.