Caroline Tendongho

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2262339 Issued in MA

Practice address

374 Boston St
Lynn, MA 01905-1651

Phone

(617) 281-5635

Fax

(781) 596-0483

NPI assigned

Feb 14, 2022

Last updated

Feb 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1689329179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 BOSTON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019051651",
            "telephone_number": "617-281-5635",
            "fax_number": "781-596-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 BOSTON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019051651",
            "telephone_number": "617-281-5635",
            "fax_number": "781-596-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENDONGHO",
        "first_name": "CAROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2262339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy)

• Registered Nurse in Lynn, MA
• Providers in Lynn, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.