Organization Active NPI

Community Medical Alliance, Inc.

  • Community Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1801090154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
COMMUNITY MEDICAL ALLIANCE, INC.
Practice address
253 Summer St
5TH FLR - Cma
Boston, MA 02210-1114
Phone
(888) 897-8947
Fax
(617) 772-5519
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Priscilla Meriot, RN, MS
Title
Executive Director
Phone
(888) 897-8947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

253 Summer St
5TH FLR - Cma
Boston, MA 02210-1114

Mailing address

253 Summer St
5TH FLR - Cma
Boston, MA 02210-1114
Phone (888) 897-8947

Other names 1

  • Community Medical Alliance-New Bedford Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Medical Alliance Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801090154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 SUMMER ST",
            "address_2": "5TH FLR - CMA",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101114",
            "telephone_number": "888-897-8947",
            "fax_number": "617-772-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 SUMMER ST",
            "address_2": "5TH FLR - CMA",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101114",
            "telephone_number": "888-897-8947",
            "fax_number": "617-772-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERIOT",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-897-8947",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MS"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Alliance-New Bedford",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.