Individual provider Active NPI

Andrea Dandridge, FNP. MPH

  • Family Nurse Practitioner
  • Dorchester, MA
National Provider Identifier
1760636948
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN282527 Issued in MA
Practice address
500 Columbia Road
Uphams Corner Health Center
Dorchester, MA 02125
Phone
(617) 287-8000
NPI assigned
Nov 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN282527 MA Primary

Addresses

Primary practice location

500 Columbia Road
Uphams Corner Health Center
Dorchester, MA 02125

Mailing address

500 Columbia Road
Uphams Corner Health Center
Dorchester, MA 02125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026000240 MA Practitioner - Nurse Practitioner 4183885049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Davis Square Family PracticeGroup PAC ID 1355385196, 6 clinicians

Practice addresses (Care Compare)

255 Elm St
Suite 301
Somerville, MA 02144-2947
Phone (617) 666-9577

Hospital & facility affiliations

  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN282527MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Square Family Practice CurrentSince Sep 19, 2022 Accepting new patients

Locations

260 Elm St
Ste 105
Somerville, MA 02144
Phone (617) 571-2082

255 Elm St
Ste 301
Somerville, MA 02144
Phone (617) 666-9577

Interoperability endpoints

  • Direct secure messaging: adandridge560278@direct.bilh.masshiway.net

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1760636948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COLUMBIA ROAD",
            "address_2": "UPHAMS CORNER HEALTH CENTER",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COLUMBIA ROAD",
            "address_2": "UPHAMS CORNER HEALTH CENTER",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02125",
            "telephone_number": "617-287-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDRIDGE",
        "first_name": "ANDREA",
        "credential": "FNP. MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN282527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

Verify at the official NPI Registry.