Eliza Gakuo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN90079 Issued in MA

Practice address

354 W Boylston St
Suite 232
West Boylston, MA 01583-2373

Phone

(774) 261-8477

NPI assigned

Feb 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pivot Point Homecare Services, Inc

  • Home Health Agency
  • Westborough, MA
  • NPI 1003155177
  NPD (past)

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1669832093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CRESCENT DR",
            "address_2": "APT 1",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 W BOYLSTON ST",
            "address_2": "SUITE 232",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015832373",
            "telephone_number": "774-261-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAKUO",
        "first_name": "ELIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN90079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Faneuff, LMHC
• Kerri Marie Fitzgerald
• Catherine Lydia Lin Foden, MSW, LCSW
• Francis Holistic Medical Center, P.C.
• Furniture Medic by Greg Hamel
• Priscilla Galera, M.A.
• Shaylyn Rose Gallagher
• Karen Frances Gallary, MS PT
• Susan E Galvin, LMHC
• Marcia Lea Galvinhill, PH.D.

• Licensed Practical Nurse in West Boylston, MA
• Providers in West Boylston, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.