Individual provider Active NPI

Teresa Reardon-Pollini

  • Nurse Practitioner
  • Newburyport, MA
National Provider Identifier
1801082433
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
150835 Issued in MA
Practice address
257 Low St
Newburyport, MA 01950-3556
Phone
(978) 462-9311
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 150835 MA Primary

Addresses

Primary practice location

257 Low St
Newburyport, MA 01950-3556

Mailing address

257 Low St
Newburyport, MA 01950-3556

Other identifiers 1

IdentifierTypeStateIssuer
150835OtherMAMASS LICENSE

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
150835MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Healthcare Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: terry.reardonpollini@chc1.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1801082433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 LOW ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 LOW ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503556",
            "telephone_number": "978-462-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON-POLLINI",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "150835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS LICENSE",
            "identifier": "150835",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.