NPIMap

Organization Active NPI

Estelle Chamblin-Moussignac

  • Pediatric Skilled Nursing Facility
  • Brighton, MA
National Provider Identifier
1821226564
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
261062 Issued in MA
Legal business name
ESTELLE CHAMBLIN-MOUSSIGNAC
Practice address
15 Antwerp St
Brighton, MA 02135-1301
Phone
(617) 562-6090
NPI assigned
Jul 1, 2009
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Mrs. Estelle Chamblin-Moussignac, RNNPI 1164620449
Title
Private Duty Nursing
Phone
(517) 562-6090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 261062 MA Primary

Addresses

Primary practice location

15 Antwerp St
Brighton, MA 02135-1301

Mailing address

15 Antwerp St
Brighton, MA 02135-1301
Phone (617) 562-6090

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1821226564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ANTWERP ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351301",
            "telephone_number": "617-562-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ANTWERP ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351301",
            "telephone_number": "617-562-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTELLE CHAMBLIN-MOUSSIGNAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "CHAMBLIN-MOUSSIGNAC",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_title_or_position": "PRIVATE DUTY NURSING",
        "authorized_official_telephone_number": "517-562-6090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "MA",
            "license": "261062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.