Individual provider Active NPI

Judith Smith Casey

  • Nurse Practitioner
  • Brighton, MA
National Provider Identifier
1699754861
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
152507 Issued in MA
Practice address
77 Warren St
Brighton, MA 02135-3601
Phone
(617) 562-5250
Fax
(617) 562-5277
NPI assigned
Jan 16, 2006
Last updated
Apr 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 152507 MA Primary

Addresses

Primary practice location

77 Warren St
Brighton, MA 02135-3601

Mailing address

77 Warren St
Brighton, MA 02135-3601
Phone (617) 562-5250

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060222000732 MA Practitioner - Nurse Practitioner 8921014366 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
152507MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC CurrentSince Oct 31, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 1, 2022 Accepting new patients
Caritas St. Elizabeth's Medical Center Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

77 Warren St
Brighton, MA 02135
Phone (617) 254-1271

77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200

77 Warren St
Fl 2
Brighton, MA 02135
Phone (617) 562-5525

77 Warren St
Ste 5
Brighton, MA 02135

822 Boylston St
Chestnut Hill, MA 02467
Phone (617) 487-5344

822 Boylston St
Ste 102
Chestnut Hill, MA 02467
Phone (617) 396-8866

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1699754861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-562-5250",
            "fax_number": "617-562-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-562-5250",
            "fax_number": "617-562-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH CASEY",
        "first_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "152507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.