Active NPI
Minniet M Pilgrim, NP
- Nurse Practitioner
- Dartmouth, MA
National Provider Identifier
1700853231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 116968
- Practice address
- 531 Faunce Corner Rd
Dartmouth, MA 02747-1242 - Phone
- (508) 996-3991
- NPI assigned
- Mar 3, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 116968 | MA | Primary |
Addresses
Primary practice location
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Mailing address
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362620 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116968 | MA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1700853231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 FAUNCE CORNER RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471242",
"telephone_number": "508-996-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 FAUNCE CORNER RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471242",
"telephone_number": "508-996-3991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILGRIM",
"first_name": "MINNIET",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "116968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "362620",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.