Active NPI
Natasha Larocque, M.D.
- Diagnostic Radiology Physician
- Boston, MA
National Provider Identifier
1619595105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 283602
- Practice address
- 330 Brookline Avenue, Sherman 231, Beth Israel Deacones
Radiology Education Office
Boston, MA 02215 - Phone
- (289) 683-5666
- Fax
- (617) 667-3513
- NPI assigned
- Jul 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 283602 | MA | Primary |
Addresses
Primary practice location
330 Brookline Avenue, Sherman 231, Beth Israel Deacones
Radiology Education Office
Boston, MA 02215
Mailing address
330 Brookline Avenue, Sherman 231, Beth Israel Deacones
Radiology Education Office
Boston, MA 02215
Phone (289) 683-5666
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283602 | MA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1619595105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVENUE, SHERMAN 231, BETH ISRAEL DEACONES",
"address_2": "RADIOLOGY EDUCATION OFFICE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "289-683-5666",
"fax_number": "617-667-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVENUE, SHERMAN 231, BETH ISRAEL DEACONES",
"address_2": "RADIOLOGY EDUCATION OFFICE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "289-683-5666",
"fax_number": "617-667-3513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROCQUE",
"first_name": "NATASHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-10",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "283602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.