Individual provider Active NPI

Tomoko Takanashi

  • Adult Health Nurse Practitioner
  • Newton Center, MA
National Provider Identifier
1740549609
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN264362 Issued in MA
Practice address
123 Baldpate Hill Rd
Newton Center, MA 02459-2853
Phone
(617) 244-5878
Fax
(617) 244-8805
NPI assigned
May 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN264362 MA Primary

Addresses

Primary practice location

123 Baldpate Hill Rd
Newton Center, MA 02459-2853

Mailing address

332 Franklin St Apt 600
Cambridge, MA 02139-3298

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

LicenseStateTypeSpecialty
RN264362MAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1740549609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 FRANKLIN ST APT 600",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BALDPATE HILL RD",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592853",
            "telephone_number": "617-244-5878",
            "fax_number": "617-244-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKANASHI",
        "first_name": "TOMOKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN264362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.