NPIMap

Organization Active NPI

Nerhc, Inc

Doing business as New England Regional Headache Center, Inc

  • Adult Health Clinical Nurse Specialist
  • Worcester, MA
National Provider Identifier
1811381437
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
MA168131 Issued in MA
Legal business name
NERHC, INC
Doing business as
New England Regional Headache Center, Inc
Practice address
85 Prescott St
Suite 101
Worcester, MA 01605-2610
Phone
(508) 890-5633
Fax
(508) 890-1125
NPI assigned
Mar 20, 2015
Last updated
Mar 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Dianna Markley, SN
Title
Administrator
Phone
(508) 890-5633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X MA168131 MA Primary

Addresses

Primary practice location

85 Prescott St
Suite 101
Worcester, MA 01605-2610

Mailing address

85 Prescott St
Suite 101
Worcester, MA 01605-2610
Phone (508) 890-5633

Other identifiers 1

IdentifierTypeStateIssuer
0357677MedicaidMA

Other names 1

  • New England Regional Headache Center, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nerhc Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

  • Nerhc, Inc.

    dba New England Regional Headache Center, Inc.

    • Neurology Physician
    • Worcester, MA
    • NPI 1770594525
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1811381437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST",
            "address_2": "SUITE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052610",
            "telephone_number": "508-890-5633",
            "fax_number": "508-890-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST",
            "address_2": "SUITE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052610",
            "telephone_number": "508-890-5633",
            "fax_number": "508-890-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERHC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "MARKLEY",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-890-5633",
        "authorized_official_credential": "SN"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MA",
            "license": "MA168131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357677",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Regional Headache Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.