Individual provider Active NPI

Carmelle S Besong, NP

  • Family Nurse Practitioner
  • Shrewsbury, MA
National Provider Identifier
1487980694
Registry record updated Nov 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN265133 Issued in MA
Practice address
56J Shrewsbury Green Dr
Shrewsbury, MA 01545-3621
Phone
(781) 330-1022
Fax
(781) 472-8747
NPI assigned
Oct 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN265133 MA Primary

Addresses

Primary practice location

56J Shrewsbury Green Dr
Shrewsbury, MA 01545-3621

Mailing address

56J Shrewsbury Green Dr
Shrewsbury, MA 01545-3621
Phone (774) 276-0084

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN265133MAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353542400000",
    "number": "1487980694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56J SHREWSBURY GREEN DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453621",
            "telephone_number": "774-276-0084",
            "fax_number": "508-798-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56J SHREWSBURY GREEN DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453621",
            "telephone_number": "781-330-1022",
            "fax_number": "781-472-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESONG",
        "first_name": "CARMELLE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2012-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN265133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2012; 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.