Active NPI
Jennifer Amie Tsoumakas
- Adult Psychiatric/Mental Health Registered Nurse
- Webster, MA
National Provider Identifier
1548748585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- RN2307397
- Practice address
- 340 Thompson Rd
Webster, MA 01570-1509 - Phone
- (508) 649-2950
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN2307397 | MA | Primary |
Addresses
Primary practice location
340 Thompson Rd
Webster, MA 01570-1509
Mailing address
184 Ramshorn Rd
Dudley, MA 01571-6244
Phone (774) 280-0745
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 |
|---|---|---|---|
| RN2307397 | MA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1548748585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 RAMSHORN RD",
"city": "DUDLEY",
"state": "MA",
"postal_code": "015716244",
"telephone_number": "774-280-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 THOMPSON RD",
"city": "WEBSTER",
"state": "MA",
"postal_code": "015701509",
"telephone_number": "508-649-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSOUMAKAS",
"first_name": "JENNIFER",
"middle_name": "AMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "RN2307397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.