Active NPI
Virginia Gaeta Nagiec, QP, MS, LMFTA
- Marriage & Family Therapist
- Hull, MA
National Provider Identifier
1679869341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1440
- Practice address
- 95 Manomet Ave
Hull, MA 02045-2341 - Phone
- (781) 925-2423
- NPI assigned
- Jun 21, 2011
- Last updated
- Dec 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 7066A | NC | |
| Marriage & Family Therapist | 106H00000X | 1440 | MA | Primary |
Addresses
Primary practice location
95 Manomet Ave
Hull, MA 02045-2341
Mailing address
112 Jersey St
Apt C
Boston, MA 02215-4840
Phone (252) 259-7278
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7066A | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1679869341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 JERSEY ST",
"address_2": "APT C",
"city": "BOSTON",
"state": "MA",
"postal_code": "022154840",
"telephone_number": "252-259-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MANOMET AVE",
"city": "HULL",
"state": "MA",
"postal_code": "020452341",
"telephone_number": "781-925-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGIEC",
"first_name": "VIRGINIA",
"middle_name": "GAETA",
"name_prefix": "Mrs.",
"credential": "QP, MS, LMFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "7066A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "1440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hull, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.