Active NPI
Chanette Grace Adlam, MS
- Student in an Organized Health Care Education/Training Program
- Boston, MA
National Provider Identifier
1689053563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 75 Morton Village Dr
Apt 408
Boston, MA 02126-2460 - Phone
- (617) 935-9227
- NPI assigned
- May 25, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
75 Morton Village Dr
Apt 408
Boston, MA 02126-2460
Mailing address
75 Morton Village Dr
Apt 408
Boston, MA 02126-2460
Phone (617) 935-9227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432512000000",
"number": "1689053563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 MORTON VILLAGE DR",
"address_2": "APT 408",
"city": "BOSTON",
"state": "MA",
"postal_code": "021262460",
"telephone_number": "617-935-9227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MORTON VILLAGE DR",
"address_2": "APT 408",
"city": "BOSTON",
"state": "MA",
"postal_code": "021262460",
"telephone_number": "617-935-9227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLAM",
"first_name": "CHANETTE",
"middle_name": "GRACE",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-25",
"last_updated": "2015-05-25",
"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 Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2015; 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.