Active NPI
Miriam Dellheim, NP
- Nurse Practitioner
- Framingham, MA
National Provider Identifier
1497734255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209526
- Practice address
- 354 Waverley St
Framingham, MA 01702-7079 - Phone
- (508) 370-0113
- NPI assigned
- Jan 11, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209526 | MA | Primary |
Addresses
Primary practice location
354 Waverley St
Framingham, MA 01702-7079
Mailing address
354 Waverly St
Framingham, MA 01702-7079
Phone (508) 370-0113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 8, 2023 through Mar 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209526 | MA | MD | Nurse Practitioner |
Interoperability endpoints
- miriam.dellheim.1@24697.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497734255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 WAVERLY ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017027079",
"telephone_number": "508-370-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 WAVERLEY ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017027079",
"telephone_number": "508-370-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLHEIM",
"first_name": "MIRIAM",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "209526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.