Individual provider Active NPI

Meredith Gaudini, APRN

  • Gerontology Nurse Practitioner
  • Somerset, MA
National Provider Identifier
1720775596
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN277447 Issued in MA
Practice address
67 Slades Ferry Ave
Somerset, MA 02726-1220
Phone
(603) 969-4105
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN277447 MA Primary

Addresses

Primary practice location

67 Slades Ferry Ave
Somerset, MA 02726-1220

Mailing address

62 Peleg Rd
Portsmouth, RI 02871-3830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN277447MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Jul 1, 2023 Accepting new patients
Prima Care, PC CurrentSince Jul 1, 2023 Accepting new patients

Locations

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1720775596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PELEG RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028713830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SLADES FERRY AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027261220",
            "telephone_number": "603-969-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDINI",
        "first_name": "MEREDITH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN277447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, MA

Sources for this page

Verify at the official NPI Registry.