Individual provider Active NPI

Cynthia Podesta

  • Family Nurse Practitioner
  • Taunton, MA
National Provider Identifier
1821765983
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2298283 Issued in MA
Practice address
59 Broadway
Taunton, MA 02780-3120
Phone
(877) 557-3155
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2298283 MA
Addiction Medicine (Internal Medicine) Physician 207RA0401X RN2298283 MA
Family Nurse Practitioner 363LF0000X RN2298283 MA Primary

Addresses

Primary practice location

59 Broadway
Taunton, MA 02780-3120

Mailing address

79 Randall St Apt 2
Pawtucket, RI 02860-3770

Other practice location 1

79 Randall St Apt 2
Pawtucket, RI 02860-3770
Phone (508) 838-4451

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230109000077 MA Practitioner - Nurse Practitioner 3779953716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Care Alternatives of Massachusetts, LLCGroup PAC ID 9537072202, 3 clinicians

Practice addresses (Care Compare)

352 Belmont St
Worcester, MA 01604-1008
Phone (508) 229-8390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2298283MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Alternatives of Massachusetts, LLC CurrentSince Mar 20, 2025 Accepting new patients

Locations

352 Belmont St
Worcester, MA 01604
Phone (508) 229-8390

65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1821765983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 RANDALL ST APT 2",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BROADWAY",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803120",
            "telephone_number": "877-557-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Randall St Apt 2",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028603770",
            "country_code": "US",
            "telephone_number": "508-838-4451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODESTA",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2298283",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MA",
            "license": "RN2298283",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2298283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.