Individual provider Active NPI

Jessica N Petrone

  • Midwife
  • Stoughton, MA
National Provider Identifier
1619152303
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
294 Pleasant St # 206
Stoughton, MA 02072-2571
Phone
(508) 254-4424
NPI assigned
Jan 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN2331061. MA
Midwife 176B00000X Primary

Addresses

Primary practice location

294 Pleasant St # 206
Stoughton, MA 02072-2571

Mailing address

7 Plymouth Rd
Wareham, MA 02571-1205
Phone (508) 295-0237

Other practice location 1

7 Plymouth Rd
Wareham, MA 02571-1205
Phone (508) 295-0237

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

State licenses

LicenseStateTypeSpecialty
RN2331061.MAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Birthmatters, LLC Midwife 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1619152303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PLYMOUTH RD",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711205",
            "telephone_number": "508-295-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 PLEASANT ST # 206",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722571",
            "telephone_number": "508-254-4424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Wareham",
            "state": "MA",
            "postal_code": "025711205",
            "country_code": "US",
            "telephone_number": "508-295-0237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRONE",
        "first_name": "JESSICA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-01",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MA",
            "license": "RN2331061.",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.