Active NPI
Andrea Paynter
- Adult Health Nurse Practitioner
- West Bridgewater, MA
National Provider Identifier
1639766033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN2271161
- Practice address
- 61 Kenneth St
West Bridgewater, MA 02379-1219 - Phone
- (617) 593-4610
- NPI assigned
- Dec 31, 2020
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN2271161 | MA | Primary |
Addresses
Primary practice location
61 Kenneth St
West Bridgewater, MA 02379-1219
Mailing address
61 Kenneth St
West Bridgewater, MA 02379-1219
Phone (617) 593-4610
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2271161 | MA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609372800000",
"number": "1639766033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 KENNETH ST",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791219",
"telephone_number": "617-593-4610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 KENNETH ST",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791219",
"telephone_number": "617-593-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNTER",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-31",
"last_updated": "2020-12-31",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN2271161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.