Jacqueline Racine, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

164433 Issued in MA

Practice address

466 County St
New Bedford, MA 02740-5107

Phone

(508) 997-0794

Fax

(508) 999-6607

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780700161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 COUNTY ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405107",
            "telephone_number": "508-997-0794",
            "fax_number": "508-999-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 COUNTY ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405107",
            "telephone_number": "508-997-0794",
            "fax_number": "508-999-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACINE",
        "first_name": "JACQUELINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "164433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "164433",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triffin Psyhojos, MD
• Ming Da Qu, M.D.
• Lori M Queto, LPN
• Karen Quinn-Costa, NP
• Mohammedmoiz Qureshi, M.D
• Radiological Associates of Greater New Bedford, Inc.
• Marina Radisic-Basovic, MD
• Ida Raduc, LMHC
• Joshua D Raffa
• Lisa Rahn

• All providers in New Bedford, MA
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.