Active NPI
Nathia Stephanie White
- Home Health Aide
- Medford, MA
National Provider Identifier
1558661405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 35 Marion St
Medford, MA 02155-6219 - Phone
- (857) 222-7529
- Fax
- (781) 874-0945
- NPI assigned
- Oct 26, 2010
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | MA | Primary | |
| Nurse's Aide | 376K00000X | MA |
Addresses
Primary practice location
35 Marion St
Medford, MA 02155-6219
Mailing address
35 Marion St
Medford, MA 02155-6219
Phone (857) 222-7529
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": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1558661405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MARION ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556219",
"telephone_number": "857-222-7529",
"fax_number": "781-874-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MARION ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556219",
"telephone_number": "857-222-7529",
"fax_number": "781-874-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "NATHIA",
"middle_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MA",
"license": null,
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.