Active NPI
Aidanni Headley
- Licensed Vocational Nurse
- Cambridge, MA
National Provider Identifier
1689090755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- LN97946
- Practice address
- 119 Windsor St
Cambridge, MA 02139-3647 - Phone
- (617) 665-3600
- NPI assigned
- Mar 12, 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | LN97946 | MA | Primary |
Addresses
Primary practice location
119 Windsor St
Cambridge, MA 02139-3647
Mailing address
80 Mill St Apt 3
Woburn, MA 01801-2765
Phone (781) 558-4649
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN97946 | MA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1689090755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MILL ST APT 3",
"city": "WOBURN",
"state": "MA",
"postal_code": "018012765",
"telephone_number": "781-558-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 WINDSOR ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393647",
"telephone_number": "617-665-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADLEY",
"first_name": "AIDANNI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "MA",
"license": "LN97946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.