Active NPI
Alexandra Dirienzo, RN
- Community Health Registered Nurse
- Plymouth, MA
National Provider Identifier
1558910695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN2316337
- Practice address
- 10 Cordage Park Cir Ste 115
Plymouth, MA 02360-7318 - Phone
- (708) 778-5470
- NPI assigned
- Sep 11, 2019
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN2316337 | MA | Primary |
Addresses
Primary practice location
10 Cordage Park Cir Ste 115
Plymouth, MA 02360-7318
Mailing address
10 Cordage Park Cir Ste 115
Plymouth, MA 02360-7318
Phone (708) 778-5470
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2316337 | MA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1558910695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CORDAGE PARK CIR STE 115",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023607318",
"telephone_number": "708-778-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CORDAGE PARK CIR STE 115",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023607318",
"telephone_number": "708-778-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRIENZO",
"first_name": "ALEXANDRA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MA",
"license": "RN2316337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.