Active NPI
Seth Lauren Daly Stennis, MD
- Student in an Organized Health Care Education/Training Program
- Newton, MA
National Provider Identifier
1679100143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2014 Washington St
Newton, MA 02462-1699 - Phone
- (617) 243-6000
- NPI assigned
- Mar 25, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2014 Washington St
Newton, MA 02462-1699
Mailing address
385 Walden St
Cambridge, MA 02138-1348
Phone (407) 408-9752
Other practice location 1
385 Walden St
Cambridge, MA 02138-1348
Phone (407) 408-9752
Other practice location 2
115 Mill St
Belmont, MA 02478-1048
Phone (800) 333-0338
Other practice location 3
55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-2000
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1679100143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 WALDEN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381348",
"telephone_number": "407-408-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621699",
"telephone_number": "617-243-6000"
}
],
"practiceLocations": [
{
"address_1": "385 Walden St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021381348",
"country_code": "US",
"telephone_number": "407-408-9752",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Mill St",
"address_purpose": "LOCATION",
"city": "Belmont",
"state": "MA",
"postal_code": "024781048",
"country_code": "US",
"telephone_number": "800-333-0338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142696",
"country_code": "US",
"telephone_number": "617-726-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALY STENNIS",
"first_name": "SETH",
"middle_name": "LAUREN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.