Active NPI
Geraldei Paul, NP
- Nurse Practitioner
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN281540
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94101976 | Medicaid | MA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN281540 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Coast Behavioral, LLC | Single Specialty | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fall River, MA
- NPI 1184963993
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Brockton, MA
- NPI 1588431043
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.