Active NPI
Melissa Braga, RN
- Nutrition Support Registered Nurse
- Andover, MA
National Provider Identifier
1508535543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Registered Nurse
- License
- RN2313754
- Practice address
- 300 Brickstone SQ Ste 201
Andover, MA 01810-1497 - Phone
- (978) 954-7310
- NPI assigned
- Sep 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Registered Nurse | 163WN1003X | RN2313754 | MA | Primary |
Addresses
Primary practice location
300 Brickstone SQ Ste 201
Andover, MA 01810-1497
Mailing address
7 Edith Dr
Tewksbury, MA 01876-3259
Phone (978) 973-0093
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 |
|---|---|---|---|
| RN2313754 | MA | MD | Nutrition Support Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1508535543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 EDITH DR",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018763259",
"telephone_number": "978-973-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BRICKSTONE SQ STE 201",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018101497",
"telephone_number": "978-954-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGA",
"first_name": "MELISSA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "MA",
"license": "RN2313754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.