Individual provider Active NPI

Jessica Gardner, RN

  • Community Health Registered Nurse
  • Dedham, MA
National Provider Identifier
1720514409
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
2301409 Issued in MA
Practice address
26 Bryant St
Dedham, MA 02026-4724
Phone
(781) 751-9220
Fax
(781) 751-9229
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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 2301409 MA Primary

Addresses

Primary practice location

26 Bryant St
Dedham, MA 02026-4724

Mailing address

26 Bryant St
Dedham, MA 02026-4458
Phone (781) 751-9220

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2301409MAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Dedham Current Accepting new patients
Town of Dedham Current Accepting new patients

Locations

26 Bryant St
Dedham, MA 02026
Phone (781) 326-0540

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1720514409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BRYANT ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264458",
            "telephone_number": "781-751-9220",
            "fax_number": "781-751-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BRYANT ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264724",
            "telephone_number": "781-751-9220",
            "fax_number": "781-751-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JESSICA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MA",
            "license": "2301409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.