Active NPI
Angeline Vildort Nherisson
- Behavior Technician
- Lunenburg, MA
National Provider Identifier
1497217723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- S81842607
- Practice address
- 132 Robbs Hill Rd
Lunenburg, MA 01462-2167 - Phone
- (617) 304-1776
- NPI assigned
- Apr 4, 2019
- Last updated
- Jul 31, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | S81842607 | MA | Primary |
Addresses
Primary practice location
132 Robbs Hill Rd
Lunenburg, MA 01462-2167
Mailing address
16 Berwick St
Lowell, MA 01852-4908
Phone (617) 304-1776
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
| License | State | Type | Specialty |
|---|---|---|---|
| S81842607 | MA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Visiting Hands | Current | Accepting new patients | |
| Angel Visiting Hands | Current | Accepting new patients | |
| Angel Visiting Hands,LLC | Current | Accepting new patients |
Organizations & group practices 4
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.
-
- Home Health Aide
- Nashua, NH
- NPI 1386420941
-
- Home Health Aide
- Lowell, MA
- NPI 1053912394
-
dba Angel Visiting Hands, LLC
- Community Based Hospice Care Agency
- Nashua, NH
- NPI 1205653425
-
dba Angel Visiting Hands,LLC
- Community Based Hospice Care Agency
- Nashua, NH
- NPI 1295552313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1497217723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BERWICK ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018524908",
"telephone_number": "617-304-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 ROBBS HILL RD",
"city": "LUNENBURG",
"state": "MA",
"postal_code": "014622167",
"telephone_number": "617-304-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NHERISSON",
"first_name": "ANGELINE",
"middle_name": "VILDORT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MA",
"license": "S81842607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lunenburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.