Active NPI
Jacelyn Howlett Farmerie, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Boston, MA
National Provider Identifier
1770945685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- RN2288003
- Practice address
- 780 Albany St
Boston, MA 02118-2755 - Phone
- (857) 654-1000
- Fax
- (857) 654-1100
- NPI assigned
- Mar 22, 2016
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN2288003 | MA | Primary |
Addresses
Primary practice location
780 Albany St
Boston, MA 02118-2755
Mailing address
31 Blithewood Ave
Unit 1003
Worcester, MA 01604-3543
Phone (508) 860-1063
Other practice location 1
72 Jaques Ave
Worcester, MA 01610-2476
Phone (508) 860-1047
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2288003 | MA | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563667200000",
"number": "1770945685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BLITHEWOOD AVE",
"address_2": "UNIT 1003",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016043543",
"telephone_number": "508-860-1063",
"fax_number": "508-421-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182755",
"telephone_number": "857-654-1000",
"fax_number": "857-654-1100"
}
],
"practiceLocations": [
{
"address_1": "72 Jaques Ave",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016102476",
"country_code": "US",
"telephone_number": "508-860-1047",
"fax_number": "508-421-4393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARMERIE",
"first_name": "JACELYN",
"middle_name": "HOWLETT",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2019-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "RN2288003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.