NPIMap

Organization Active NPI

Caritas Physician Network

  • Nurse Practitioner
  • Walpole, MA
National Provider Identifier
1639386204
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
176613 Issued in MA
Legal business name
CARITAS PHYSICIAN NETWORK
Practice address
1428 Main St Ste 7
Walpole, MA 02081-1729
Phone
(508) 668-4007
Fax
(508) 668-5769
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Margaret Duggan
Title
Nurse Practitioner
Phone
(508) 668-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 176613 MA Primary

Addresses

Primary practice location

1428 Main St Ste 7
Walpole, MA 02081-1729

Mailing address

21 Saddle Ridge Rd
Dover, MA 02030-1618

Other identifiers 5

IdentifierTypeStateIssuer
0020774OtherMANHP
NP2013OtherMABCBS INDEMNITY
0343820MedicaidMA
NP2013OtherMABLUE CARE 65
0343820OtherMAHEALTHY START

National Provider Directory

National Provider Directory
Tax ID family
Seton Cardiothor Surg a6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639386204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SADDLE RIDGE RD",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020301618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 MAIN ST STE 7",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811729",
            "telephone_number": "508-668-4007",
            "fax_number": "508-668-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "508-668-4007"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "176613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0020774",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDEMNITY",
            "identifier": "NP2013",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0343820",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE 65",
            "identifier": "NP2013",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY START",
            "identifier": "0343820",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.