Active NPI
Maria Roberts
- Ambulatory Women's Health Care Registered Nurse
- Somerville, MA
National Provider Identifier
1568068559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- RN2289632
- Practice address
- 230 Highland Ave
Somerville, MA 02143-1408 - Phone
- (617) 591-4800
- NPI assigned
- Dec 7, 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 |
|---|---|---|---|---|
| Maternal Newborn Registered Nurse | 163WM0102X | RN2289632 | MA | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN2289632 | MA | Primary |
Addresses
Primary practice location
230 Highland Ave
Somerville, MA 02143-1408
Mailing address
45 Nashua Rd
North Billerica, MA 01862-2004
Phone (617) 458-9998
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072760-21 | Other | NH | RN LICENSE |
| RN2289632 | Other | MA | BOARD OF REGISTRATION IN NURSING |
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 |
|---|---|---|---|
| RN2289632 | MA | MD | Maternal Newborn Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1568068559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 NASHUA RD",
"city": "NORTH BILLERICA",
"state": "MA",
"postal_code": "018622004",
"telephone_number": "617-458-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HIGHLAND AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021431408",
"telephone_number": "617-591-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "MA",
"license": "RN2289632",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "MA",
"license": "RN2289632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "072760-21",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTRATION IN NURSING",
"identifier": "RN2289632",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.