Active NPI
Amy Kristen Aviles, F.N.P.
- Family Nurse Practitioner
- Worcester, MA
National Provider Identifier
1497083984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN260678
- Practice address
- 3 Aster PL
Worcester, MA 01603-2201 - Phone
- (508) 769-5875
- NPI assigned
- Nov 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN260678 | MA | Primary |
Addresses
Primary practice location
3 Aster PL
Worcester, MA 01603-2201
Mailing address
3 Aster PL
Worcester, MA 01603-2201
Phone (508) 769-5875
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Massachusetts LLC | Family | Current | Accepting new patients |
Locations
311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100
1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
Interoperability endpoints
- amy.aviles.npi1497083984.reliant@direct.optumcare.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.
-
- Family Nurse Practitioner
- Medway, MA
- NPI 1457470858
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1497083984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ASTER PL",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016032201",
"telephone_number": "508-769-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ASTER PL",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016032201",
"telephone_number": "508-769-5875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILES",
"first_name": "AMY",
"middle_name": "KRISTEN",
"credential": "F.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-23",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN260678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.