Active NPI
Joan L Hayden, NP
- Nurse Practitioner
- Billerica, MA
National Provider Identifier
1730156183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 76512
- Practice address
- 790 Boston Rd
Billerica, MA 01821-5938 - Phone
- (781) 505-8700
- Fax
- (781) 273-5776
- 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 | 76512 | MA | Primary |
Addresses
Primary practice location
790 Boston Rd
Billerica, MA 01821-5938
Mailing address
790 Boston Rd
Billerica, MA 01821-5938
Phone (781) 505-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133264 | 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 |
|---|---|---|---|
| 76512 | MA | MD | Speech-Language Pathologist |
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": "1206403200000",
"number": "1730156183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 BOSTON RD",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018215938",
"telephone_number": "781-505-8700",
"fax_number": "781-273-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 BOSTON RD",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018215938",
"telephone_number": "781-505-8700",
"fax_number": "781-273-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "JOAN",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "76512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0133264",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billerica, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.