Active NPI
Michelle Marie Duggan, CPNP
- Pediatric Nurse Practitioner
- Taunton, MA
National Provider Identifier
1720189046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 257775
- Practice address
- 60 Hodges Avenue
Goss Building Department of Youth Services
Taunton, MA 02780 - Phone
- (508) 821-2717
- Fax
- (508) 822-2084
- NPI assigned
- Sep 26, 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 257775 | MA | Primary |
Addresses
Primary practice location
60 Hodges Avenue
Goss Building Department of Youth Services
Taunton, MA 02780
Mailing address
11 Sequoia St
Pembroke, MA 02359-3731
Phone (617) 756-7005
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257775 | MA | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- mduggan36816@direct.bostonchildrens.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1720189046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SEQUOIA ST",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023593731",
"telephone_number": "617-756-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HODGES AVENUE",
"address_2": "GOSS BUILDING DEPARTMENT OF YOUTH SERVICES",
"city": "TAUNTON",
"state": "MA",
"postal_code": "02780",
"telephone_number": "508-821-2717",
"fax_number": "508-822-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGAN",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "257775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.