Individual provider Active NPI

Alexandra Timoshin

  • Community Health Registered Nurse
  • Orleans, MA
National Provider Identifier
1699339432
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN2319448 Issued in MA
Practice address
15 Morgans Way
Orleans, MA 02653-3522
Phone
(508) 778-0300
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN2319448 MA Primary

Addresses

Primary practice location

15 Morgans Way
Orleans, MA 02653-3522

Mailing address

15 Morgans Way
Orleans, MA 02653-3522

Other practice location 1

15 Morgans Way
Orleans, MA 02653-3522
Phone (203) 360-6214

Other identifiers 1

IdentifierTypeStateIssuer
RN2319448OtherMAHARBOR HEALTH COMMUNITY CENTER

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

LicenseStateTypeSpecialty
RN2319448MAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1699339432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MORGANS WAY",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MORGANS WAY",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533522",
            "telephone_number": "508-778-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Morgans Way",
            "address_purpose": "LOCATION",
            "city": "Orleans",
            "state": "MA",
            "postal_code": "026533522",
            "country_code": "US",
            "telephone_number": "203-360-6214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMOSHIN",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MA",
            "license": "RN2319448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARBOR HEALTH COMMUNITY CENTER",
            "identifier": "RN2319448",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orleans, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.