Active NPI
Richard Mate Shimechero, LPN
- Licensed Practical Nurse
- Quincy, MA
National Provider Identifier
1689969263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LN86254
- Practice address
- 460 Quincy Ave
Quincy, MA 02169-8130 - Phone
- (617) 847-1950
- Fax
- (617) 774-1490
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- 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 Practical Nurse | 164W00000X | LN86254 | MA | Primary |
Addresses
Primary practice location
460 Quincy Ave
Quincy, MA 02169-8130
Mailing address
460 Quincy Ave
Quincy, MA 02169-8130
Phone (617) 847-1950
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 |
|---|---|---|---|
| LN86254 | MA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1689969263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 QUINCY AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021698130",
"telephone_number": "617-847-1950",
"fax_number": "617-774-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 QUINCY AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021698130",
"telephone_number": "617-847-1950",
"fax_number": "617-774-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMECHERO",
"first_name": "RICHARD",
"middle_name": "MATE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MA",
"license": "LN86254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.