Edward M. Kennedy Community Health Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

EDWARD M. KENNEDY COMMUNITY HEALTH CENTER

Practice address

19 Tacoma St
Worcester, MA 01605-3516

Phone

(508) 852-1805

NPI assigned

Oct 18, 2023

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Delmas, RNNPI 1619808094

Title

Registered Nurse

Phone

(508) 858-1576

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Delmas

  • Family Nurse Practitioner
  • Auburn, MA
  • NPI 1619808094
  NPD Authorized official

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1497537179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WALTER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091031",
            "telephone_number": "508-858-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 TACOMA ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053516",
            "telephone_number": "508-852-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD M. KENNEDY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "DELMAS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "508-858-1576",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Edmiston, M.D.
• Janae Edmonds
• Tyisha Edmonds
• Kristin Elizabeth Edson-Shouse, M.ED
• Edward M Kennedy Community Health Center
• Edward M. Kennedy Community Health Center, Inc
• Edward M. Kennedy Community Health Center, Inc
• Edward M. Kennedy Community Health Center, Inc
• Edward M. Kennedy Community Health Center, Inc
• Edward M. Kennedy Community Health Center, Inc

• Community Health Clinic/Center in Worcester, MA
• Providers in Worcester, MA by specialty
• Community Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.