Active NPI
Jessica Gardner, RN
- Community Health Registered Nurse
- Dedham, MA
National Provider Identifier
1720514409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 2301409
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2301409 | MA | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Public Health or Welfare Agency
- Dedham, MA
- NPI 1447384078
-
- Local Education Agency (LEA)
- Dedham, MA
- NPI 1801929963
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.