Active NPI
Tayla Petit
- Counselor
- Fall River, MA
National Provider Identifier
1679992697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 170 Pleasant St
Room 100
Fall River, MA 02721-3015 - Phone
- (774) 294-5722
- Fax
- (774) 294-5724
- NPI assigned
- Apr 8, 2014
- Last updated
- Apr 8, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
170 Pleasant St
Room 100
Fall River, MA 02721-3015
Mailing address
170 Pleasant St
Room 100
Fall River, MA 02721-3015
Phone (774) 294-5722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1679992697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 PLEASANT ST",
"address_2": "ROOM 100",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213015",
"telephone_number": "774-294-5722",
"fax_number": "774-294-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 PLEASANT ST",
"address_2": "ROOM 100",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213015",
"telephone_number": "774-294-5722",
"fax_number": "774-294-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETIT",
"first_name": "TAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.