Regis College

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

RN284389 Issued in MA

Legal business name

REGIS COLLEGE

Practice address

19 Southmere Road
Mattapan, MA 02126

Phone

(617) 755-0356

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Trinika Bullock, RN

Title

Registered Nurse

Phone

(617) 755-0356

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1609314681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SOUTHMERE RD",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SOUTHMERE ROAD",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "02126",
            "telephone_number": "617-755-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIS COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "TRINIKA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "617-755-0356",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "MA",
            "license": "RN284389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth A. Raczkowski, N.P.
• Erik Josef Radermacher, PT, DPT
• Kalpita H Rane, PT
• RDMH Transportation Services, Inc
• Real Change Inc
• Reinforce Agency Inc
• Jeanine Rene, DENTAL HYGIENIST RDH
• Linda D Revanche
• Amanda Reyome
• Kameron Samaj Rhone

• Inpatient Hospice in Mattapan, MA
• Providers in Mattapan, MA by specialty
• Inpatient Hospice in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.