Individual provider Active NPI

Irlande Aime

  • Registered Record Administrator
  • Boston, MA
National Provider Identifier
1629534201
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Record AdministratorTaxonomy code 246YR1600X
Practice address
12 Southern Ave
Boston, MA 02124-2012
Phone
(617) 708-0870
Fax
(617) 516-8274
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MA
Registered Record Administrator 246YR1600X Primary

Addresses

Primary practice location

12 Southern Ave
Boston, MA 02124-2012

Mailing address

12 Southern Ave
Boston, MA 02124-2012
Phone (617) 708-0870

Other practice location 1

109 Oak St Ste 103
Newton, MA 02464-1493
Phone (617) 658-5611

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fathers' Uplift Family Group, LLC CurrentSince Apr 17, 2022 Accepting new patients

Locations

12 Southern Ave
Dorchester Center, MA 02124
Phone (617) 708-0870

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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1629534201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SOUTHERN AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021242012",
            "telephone_number": "617-708-0870",
            "fax_number": "617-516-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SOUTHERN AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021242012",
            "telephone_number": "617-708-0870",
            "fax_number": "617-516-8274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Oak St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024641493",
            "country_code": "US",
            "telephone_number": "617-658-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIME",
        "first_name": "IRLANDE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "246YR1600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information, Registered Record Administrator",
            "state": null,
            "license": null,
            "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 Apr 21, 2022; 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.