Active NPI
Kelly Nagi, FNP-BC
- Family Nurse Practitioner
- Brockton, MA
National Provider Identifier
1629447735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN270815
- Practice address
- 63 Main St
Brockton, MA 02301-4042 - Phone
- (508) 559-6699
- NPI assigned
- Sep 18, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN270815 | MA | Primary |
Addresses
Primary practice location
63 Main St
Brockton, MA 02301-4042
Mailing address
266 New State Hwy
Route 44
Raynham, MA 02767-5446
Phone (508) 824-1361
Other practice location 1
266 New State Hwy
Route 44
Raynham, MA 02767-5446
Phone (508) 824-1361
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)
- Enrolled
Interoperability endpoints
- kelly.nagi@gnbchc.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1629447735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 NEW STATE HWY",
"address_2": "ROUTE 44",
"city": "RAYNHAM",
"state": "MA",
"postal_code": "027675446",
"telephone_number": "508-824-1361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014042",
"telephone_number": "508-559-6699"
}
],
"practiceLocations": [
{
"address_1": "266 New State Hwy",
"address_2": "ROUTE 44",
"address_purpose": "LOCATION",
"city": "Raynham",
"state": "MA",
"postal_code": "027675446",
"country_code": "US",
"telephone_number": "508-824-1361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGI",
"first_name": "KELLY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN270815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.