Individual provider Active NPI

Irene Gianiotis, FNP

  • Family Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1831590595
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN231584 Issued in MA
Practice address
110 Liberty St
Brockton, MA 02301-5674
Phone
(508) 894-0400
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NPP37916 RI
Family Nurse Practitioner 363LF0000X RN231584 MA Primary
Family Nurse Practitioner 363LF0000X APRN01239 RI

Addresses

Primary practice location

110 Liberty St
Brockton, MA 02301-5674

Mailing address

110 Liberty St
Brockton, MA 02301-5674
Phone (508) 894-0400

Other practice location 1

2140 Mendon Rd
Cumberland, RI 02864-3843
Phone (401) 642-2072

Other practice location 2

1630 Mineral Spring Ave
North Providence, RI 02904-4043
Phone (401) 353-7370

Other practice location 3

25 John A Cummings Way
Woonsocket, RI 02895-3244
Phone (401) 235-7310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150518002047 RI Practitioner - Nurse Practitioner 4486974243 Reassigns benefits to 6 organizations
I20200506001430 MA Practitioner - Nurse Practitioner 4486974243 Reassigns benefits to 6 organizations
I20260609003993 PA Practitioner - Nurse Practitioner 4486974243 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (212) 734-6621

110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400

Hospital & facility affiliations

  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052
  • Kent Regency Center Nursing home, Warwick, RI, CCN 415009
  • Easton Skilled Nursing and Rehabilitation Center Nursing home, Easton, PA, CCN 395540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN231584MAMDFamily Nurse Practitioner
APRN01239RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean State Cardiovascular and Vein Center, LLC CurrentSince Dec 31, 2016 Accepting new patients
CH Specialty Services Ma PC CurrentSince Jun 19, 2024 Accepting new patients
Curana Health of Massachusetts LLC Family CurrentSince Jun 19, 2024 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Mar 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 22, 2023 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Oct 27, 2019 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Oct 27, 2019 Accepting new patients
Prime Healthcare Services Landmark LLC Past Accepting new patients
Alexandrov MD LLC Past Accepting new patients

Locations

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

110 Liberty St
Ste 2A
Brockton, MA 02301
Phone (508) 894-0766

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

110 Liberty St
Brockton, MA 02301

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

2140 Mendon Rd
Cumberland, RI 02864
Phone (401) 334-9630

270 Bellevue Ave
Newport, RI 02840
Phone (203) 843-2264

191 Social St
Woonsocket, RI 02895
Phone (401) 597-6500

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

191 Social St
Ste 100
Woonsocket, RI 02895
Phone (401) 597-6500

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: irene.gianiotis@oscvc.directbygreenway.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: irene.gianiotis@direct.signature.masshiway.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1831590595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LIBERTY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015674",
            "telephone_number": "508-894-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LIBERTY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015674",
            "telephone_number": "508-894-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 Mendon Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028643843",
            "country_code": "US",
            "telephone_number": "401-642-2072",
            "fax_number": "401-305-3958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Mineral Spring Ave",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029044043",
            "country_code": "US",
            "telephone_number": "401-353-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 John A Cummings Way",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028953244",
            "country_code": "US",
            "telephone_number": "401-235-7310",
            "fax_number": "401-235-7314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANIOTIS",
        "first_name": "IRENE",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP37916",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN231584",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.