Active NPI
Norway Dolan
- Community Health Worker
- Mashpee, MA
National Provider Identifier
1548820293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 470 Main St
Mashpee, MA 02649-2047 - Phone
- (508) 760-1475
- NPI assigned
- Jun 15, 2019
- Last updated
- Sep 15, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
470 Main St
Mashpee, MA 02649-2047
Mailing address
67 West Way
Mashpee, MA 02649-3536
Phone (774) 417-7792
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1548820293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 WEST WAY",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026493536",
"telephone_number": "774-417-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 MAIN ST",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026492047",
"telephone_number": "508-760-1475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "NORWAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.