Active NPI
Geraldine Sarah Taylor, NP
- Primary Care Nurse Practitioner
- Waltham, MA
National Provider Identifier
1598747008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 98977
- Practice address
- Student Health Services, Bentley College
175 Forest Street
Waltham, MA 02452 - Phone
- (781) 891-2222
- Fax
- (781) 891-3443
- NPI assigned
- Nov 18, 2005
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 98977 | MA | Primary |
Addresses
Primary practice location
Student Health Services, Bentley College
175 Forest Street
Waltham, MA 02452
Mailing address
28 Cider Mill Rd
Sudbury, MA 01776-3409
Phone (978) 443-8330
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98977 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxim Health Systems, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598747008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CIDER MILL RD",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017763409",
"telephone_number": "978-443-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STUDENT HEALTH SERVICES, BENTLEY COLLEGE",
"address_2": "175 FOREST STREET",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02452",
"telephone_number": "781-891-2222",
"fax_number": "781-891-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "GERALDINE",
"middle_name": "SARAH",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "98977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.