Individual provider Active NPI

Michael Samuel Webster

  • Home Health Aide
  • Boston, MA
National Provider Identifier
1487352563
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
474883763 Issued in MA
Practice address
280 Hyde Park Ave Apt 12
Boston, MA 02130-4278
Phone
(617) 959-1332
NPI assigned
Feb 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X 474883763 MA Primary

Addresses

Primary practice location

280 Hyde Park Ave Apt 12
Boston, MA 02130-4278

Mailing address

280 Hyde Park Ave Apt 12
Boston, MA 02130-4278
Phone (617) 959-1332

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.compassionateaid.com

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

State licenses

LicenseStateTypeSpecialty
474883763MAMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1487352563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 HYDE PARK AVE APT 12",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304278",
            "telephone_number": "617-959-1332",
            "fax_number": "617-516-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HYDE PARK AVE APT 12",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304278",
            "telephone_number": "617-959-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "MICHAEL",
        "middle_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "MA",
            "license": "474883763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.compassionateaid.com",
            "affiliation": "N",
            "endpointDescription": "web site",
            "address_1": "280 Hyde Park Ave Apt 12",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021304278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.