Organization Active NPI

Commonview Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Mashpee, MA
National Provider Identifier
1588059307
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN229451 Issued in MA
Legal business name
COMMONVIEW INC
Practice address
22 Steeple Street
Suite 203
Mashpee, MA 02649
Phone
(774) 238-6043
Fax
(508) 681-8573
NPI assigned
Mar 30, 2015
Last updated
Jul 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Mrs. Kathleen Shea, FMHPNP-APRN-BCNPI 1972813343
Title
Aprn
Phone
(774) 238-6043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN229451 MA Primary

Addresses

Primary practice location

22 Steeple Street
Suite 203
Mashpee, MA 02649

Mailing address

22 Steeple Street
Suite 203
Mashpee, MA 02649
Phone (774) 238-6043

Other identifiers 1

IdentifierTypeStateIssuer
1972813343OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150403000712 MA Part B Supplier - Clinic/Group Practice 6103144092 Receives reassigned benefits from 1 practitioner
Practice locations: Mashpee, MA

National Provider Directory

National Provider Directory

Locations

22 Steeple St
Ste 203
Mashpee, MA 02649
Phone (774) 238-6043

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1588059307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 STEEPLE STREET",
            "address_2": "SUITE 203",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649",
            "telephone_number": "774-238-6043",
            "fax_number": "508-681-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 STEEPLE STREET",
            "address_2": "SUITE 203",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649",
            "telephone_number": "774-238-6043",
            "fax_number": "508-681-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONVIEW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "774-238-6043",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FMHPNP-APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN229451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "1972813343",
            "state": "MA"
        }
    ],
    "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 Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.