Active NPI
Edna Phifer, RN, BSN
- Registered Nurse
- Dorchester, MA
National Provider Identifier
1548536550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN251756
- Practice address
- 107 Millet St
Dorchester, MA 02124-1813 - Phone
- (617) 825-5644
- NPI assigned
- Mar 24, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN251756 | MA | Primary |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN251756 | MA |
Addresses
Primary practice location
107 Millet St
Dorchester, MA 02124-1813
Mailing address
107 Millet St
Dorchester, MA 02124-1813
Phone (617) 825-5644
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN251756 | MA | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332547200000",
"number": "1548536550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 MILLET ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021241813",
"telephone_number": "617-825-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MILLET ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021241813",
"telephone_number": "617-825-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIFER",
"first_name": "EDNA",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-24",
"last_updated": "2012-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN251756",
"primary": true
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "RN251756",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.