Individual provider Active NPI

Noldy Jovin, RN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Waltham, MA
National Provider Identifier
1770224685
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RN2313140 Issued in MA
Practice address
54 Livingstone LN
Waltham, MA 02453-1604
Phone
(857) 250-1220
NPI assigned
Apr 5, 2022
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN2313140 MA Primary

Addresses

Primary practice location

54 Livingstone LN
Waltham, MA 02453-1604

Mailing address

54 Livingstone LN
Waltham, MA 02453-1604

Other names 1

  • Noldy Jovin-Seide Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Waltham

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

LicenseStateTypeSpecialty
RN2313140MAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1770224685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LIVINGSTONE LN",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024531604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 LIVINGSTONE LN",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024531604",
            "telephone_number": "857-250-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVIN",
        "first_name": "NOLDY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN2313140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Waltham",
            "affiliation": "N",
            "address_1": "54 Livingstone Ln",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024531604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NOLDY",
            "last_name": "JOVIN-SEIDE",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.