Individual provider Active NPI

Jacqueline Marie Drane, RN, MFP-C

  • Clinical Exercise Physiologist
  • Upton, MA
National Provider Identifier
1508446600
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
44122782 Issued in MA
Practice address
60 Plain St
Upton, MA 01568-1344
Phone
(508) 330-7297
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peritoneal Dialysis Registered Nurse 163WD1100X 197825 MA
Clinical Exercise Physiologist 224Y00000X 44122782 MA Primary

Addresses

Primary practice location

60 Plain St
Upton, MA 01568-1344

Mailing address

60 Plain St
Upton, MA 01568-1344
Phone (508) 330-7297

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
197825MAMDPeritoneal Dialysis Registered Nurse
44122782MAMDClinical Exercise Physiologist

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1508446600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PLAIN ST",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "015681344",
            "telephone_number": "508-330-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PLAIN ST",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "015681344",
            "telephone_number": "508-330-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRANE",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "RN, MFP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "MA",
            "license": "197825",
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "MA",
            "license": "44122782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.