Active NPI
Jacqueline Marie Drane, RN, MFP-C
- Clinical Exercise Physiologist
- Upton, MA
National Provider Identifier
1508446600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- License
- 44122782
- Practice address
- 60 Plain St
Upton, MA 01568-1344 - Phone
- (508) 330-7297
- NPI assigned
- Apr 12, 2021
- Last updated
- Apr 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 197825 | MA | MD | Peritoneal Dialysis Registered Nurse |
| 44122782 | MA | MD | Clinical 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.