Individual provider Active NPI

Jolene Cicchese, RN

  • General Practice Registered Nurse
  • Buzzards Bay, MA
National Provider Identifier
1780259986
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN2262466 Issued in MA
Practice address
25 Main St
Buzzards Bay, MA 02532-3106
Phone
(508) 631-3223
Fax
(508) 759-7880
NPI assigned
May 21, 2021
Last updated
May 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN2262466 MA Primary

Addresses

Primary practice location

25 Main St
Buzzards Bay, MA 02532-3106

Mailing address

25 Main St
Buzzards Bay, MA 02532-3106
Phone (508) 631-3223

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tlcprivatehomecare1@gmail.com Health Information Exchange (HIE)

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
RN2262466MAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Private Home Care Inc Current Accepting new patients

Locations

25 Main St
Buzzards Bay, MA 02532
Phone (508) 383-3956

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1780259986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323106",
            "telephone_number": "508-631-3223",
            "fax_number": "508-759-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323106",
            "telephone_number": "508-631-3223",
            "fax_number": "508-759-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCHESE",
        "first_name": "JOLENE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "RN2262466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tlcprivatehomecare1@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25 Main St",
            "city": "Buzzards Bay",
            "state": "MA",
            "country_code": "US",
            "postal_code": "025323106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buzzards Bay, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.