Individual provider Active NPI

Geraldei Paul, NP

  • Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1609485945
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN281540 Issued in MA
Practice address
170 Pleasant St Ste 100
Fall River, MA 02721-3015
Phone
(508) 493-2249
NPI assigned
Jul 22, 2020
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X RN281540 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN281540 MA
Nurse Practitioner 363L00000X RN281540 MA Primary

Addresses

Primary practice location

170 Pleasant St Ste 100
Fall River, MA 02721-3015

Mailing address

170 Pleasant St Ste 100
Fall River, MA 02721-3015
Phone (508) 493-2249

Other practice location 1

800 S Main St Ste 103
Mansfield, MA 02048-3144
Phone (508) 261-7111

Other identifiers 1

IdentifierTypeStateIssuer
94101976MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523000804 MA Practitioner - Nurse Practitioner 5193167070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Coast Behavioral LLCGroup PAC ID 2365888575, 5 clinicians

Practice addresses (Care Compare)

170 Pleasant St
Suite 100
Fall River, MA 02721-3015
Phone (774) 294-5722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN281540MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Coast Behavioral, LLC Single Specialty CurrentSince Apr 14, 2024 Accepting new patients
Ultimate Psyche Services Inc Psychiatric/Mental Health Current Accepting new patients

Locations

140 Wood Rd
Ste 403
Braintree, MA 02184
Phone (781) 817-6054

170 Pleasant St
Ste 100
Fall River, MA 02721
Phone (774) 294-5722

2733 Post Rd
Warwick, RI 02886
Phone (401) 291-4825

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1609485945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST STE 100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213015",
            "telephone_number": "508-493-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST STE 100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213015",
            "telephone_number": "508-493-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S Main St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "MA",
            "postal_code": "020483144",
            "country_code": "US",
            "telephone_number": "508-261-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "GERALDEI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN281540",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN281540",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN281540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94101976",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.