Joanna Quincy Duda, R.N.,M.S.,C.S.
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Rockport, MA
NPI 1609925049 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609925049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 130224 (MA)
- Practice address
- 24 Landmark LN
Rockport, MA 01966-1239 - Phone
- (978) 546-3838
- Fax
- (978) 546-5237
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
24 Landmark LN
Rockport, MA 01966-1239
Phone (978) 546-3838
PO Box
Suite 7
Rockport, MA 01966-1239
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050802000706 | MA | Practitioner - Certified Clinical Nurse Specialist (CNS) | 7214965060 | Practice locations: Boston, MA; Rockport, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130224 | MA | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 130224 | MA | Yes |
Addresses
Primary practice location
24 Landmark LN
Rockport, MA 01966-1239
Mailing address
24 Landmark LN
Rockport, MA 01966-1239
Phone (978) 546-3838
Other providers in Rockport, MA
- Sally A Chapdelaine
- William Collins
- Lisbeth Jeanne Costa
- Craig P Hornung DMD PC
- DRB Elder Care, LLC
- Jessica E Eddy
- Michelle Faulds
- Richard James Fitzpatrick
- Kaethe Armstrong Flynn
- Jonas Rimvydas Gavelis
All providers in Rockport, MA · Psychiatric/Mental Health Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.