Carleen Anne McQuaid, MS RNC NURSE PRACTIT

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

205387 Issued in MA

Practice address

246 Southbridge Rd
Charlton Family Practice
Charlton, MA 01507

Phone

(508) 248-4801

Fax

(508) 248-6541

NPI assigned

May 24, 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• John G Stagias MD PC

  • Gastroenterology Physician
  • Southbridge, MA
  • NPI 1992913982
  Medicare reassignment NPD
• Cindy a Shiro DO LLC

  • Obstetrics & Gynecology Physician
  • Southbridge, MA
  • NPI 1144627308
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780895433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SYLVANIA GROVE",
            "city": "NORTH BROOKFIELD",
            "state": "MA",
            "postal_code": "01535",
            "telephone_number": "508-248-4801",
            "fax_number": "508-248-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 SOUTHBRIDGE RD",
            "address_2": "CHARLTON FAMILY PRACTICE",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "01507",
            "telephone_number": "508-248-4801",
            "fax_number": "508-248-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUAID",
        "first_name": "CARLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MS RNC NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "205387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masonic Home Inc.
• Kristin Anne Mattson, P.T.
• McManus Counseling PC
• Michael James McManus Jr., MSW LICSW
• Patricia A McManus, OTR/L
• Erin K Meagher, FNP
• Yexi Susana Menard
• Traci Ann Mercier, PA
• Grace Milord
• Shilpa Monga

• Family Medicine Physician in Charlton, MA
• Providers in Charlton, MA by specialty
• Family Medicine Physician 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.