Organization Active NPI

Beth Israel Deaconess Medical Center

  • Critical Access Hospital
  • Boston, MA
National Provider Identifier
1558726356
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
RN185491 Issued in MA
Legal business name
BETH ISRAEL DEACONESS MEDICAL CENTER
Practice address
330 Brookline Ave Shapiro 9
Beth Israel Deaconess Medical Center
Boston, MA 02215
Phone
(617) 667-1901
Fax
(617) 667-2518
NPI assigned
Dec 21, 2015
Last updated
Dec 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Danielle Coute McDonald, ACNP-BC
Title
Nurse Practitioner
Phone
(617) 667-1901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X RN185491 MA Primary

Addresses

Primary practice location

330 Brookline Ave Shapiro 9
Beth Israel Deaconess Medical Center
Boston, MA 02215

Mailing address

403A Neponset St
Norwood, MA 02062-4952
Phone (781) 234-4247

National Provider Directory

National Provider Directory

Locations

330 Brookline Ave
#9
Boston, MA 02215
Phone (617) 667-2100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1558726356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403A NEPONSET ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624952",
            "telephone_number": "781-234-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE SHAPIRO 9",
            "address_2": "BETH ISRAEL DEACONESS MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-667-1901",
            "fax_number": "617-667-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL DEACONESS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "COUTE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "617-667-1901",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MA",
            "license": "RN185491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.