Active NPI
James C Reidy
- Registered Nurse
- Fitchburg, MA
National Provider Identifier
1528704475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2290894
- Practice address
- 326 Nichols Rd
Fitchburg, MA 01420-1914 - Phone
- (978) 878-8333
- NPI assigned
- May 12, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2290894 | MA | Primary |
Addresses
Primary practice location
326 Nichols Rd
Fitchburg, MA 01420-1914
Mailing address
326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8333
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EHR | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2290894 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1528704475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 NICHOLS RD",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014201914",
"telephone_number": "978-878-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 NICHOLS RD",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014201914",
"telephone_number": "978-878-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIDY",
"first_name": "JAMES",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-12",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2290894",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EHR",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "326 Nichols Rd",
"city": "Fitchburg",
"state": "MA",
"country_code": "US",
"postal_code": "014201914",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.