Organization Active NPI

Boston Private Nursing LLC

  • Home Health Clinical Nurse Specialist
  • Wellesley, MA
National Provider Identifier
1639775950
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
Legal business name
BOSTON PRIVATE NURSING LLC
Practice address
572 Washington St Ste 101
Wellesley, MA 02482-6418
Phone
(781) 820-4015
NPI assigned
Dec 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Amy Doherty
Title
Owner
Phone
(781) 820-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SH0200X Primary

Addresses

Primary practice location

572 Washington St Ste 101
Wellesley, MA 02482-6418

Mailing address

56 Pershing Rd
Needham, MA 02494-1029

National Provider Directory

National Provider Directory

Locations

572 Washington St
Ste 101
Wellesley, MA 02482
Phone (781) 820-4015

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1639775950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 PERSHING RD",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 WASHINGTON ST STE 101",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826418",
            "telephone_number": "781-820-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PRIVATE NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-820-4015"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.