Organization Active NPI

David Ouellette of Wakefield Ma

Doing business as Brightstar of Wakefield MA

  • Home Health Agency
  • Wakefield, MA
National Provider Identifier
1659698454
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
8049 Issued in MA
Legal business name
DAVID OUELLETTE OF WAKEFIELD MA
Doing business as
Brightstar of Wakefield MA
Practice address
599 North Ave
Door #9
Wakefield, MA 01880-1648
Phone
(781) 246-8706
Fax
(339) 219-6453
NPI assigned
May 3, 2010
Last updated
May 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Mr. David J Ouellette
Title
President
Phone
(781) 246-8706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 8049 MA Primary

Addresses

Primary practice location

599 North Ave
Door #9
Wakefield, MA 01880-1648

Mailing address

599 North Ave
Door #9
Wakefield, MA 01880-1648
Phone (781) 246-8706

Other names 1

  • Brightstar of Wakefield MA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1659698454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 NORTH AVE",
            "address_2": "DOOR #9",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801648",
            "telephone_number": "781-246-8706",
            "fax_number": "339-219-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 NORTH AVE",
            "address_2": "DOOR #9",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801648",
            "telephone_number": "781-246-8706",
            "fax_number": "339-219-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID OUELLETTE OF WAKEFIELD MA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-246-8706",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "8049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightstar of Wakefield MA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.