Blakewell Health

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

BLAKEWELL HEALTH

Doing business as

Blakewell Primary Care

Practice address

120 Main St
Bridgewater, MA 02324-1409

Phone

(508) 232-6963

NPI assigned

Mar 2, 2017

Last updated

May 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

India MichelNPI 1760720213

Title

Practice Administrator

Phone

(508) 232-6963

Specialties & licenses 1

Addresses

Other names 1

• Blakewell Primary Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• India S. Michel, NP

  • Family Nurse Practitioner
  • Dedham, MA
  • NPI 1760720213
  Authorized official Same address or phone

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1639619216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241409",
            "telephone_number": "508-232-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241409",
            "telephone_number": "508-232-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKEWELL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "INDIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "508-232-6963"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blakewell Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gerontology Nurse Practitioner in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Gerontology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.