Individual provider Active NPI

Froukje Jeannette Timmer, FNP

  • Family Nurse Practitioner
  • New Bedford, MA
National Provider Identifier
1851652895
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN153993 Issued in MA
Practice address
74 Kilburn St
New Bedford, MA 02740-7321
Phone
(508) 910-3019
Fax
(508) 910-3055
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN153993 MA Primary

Addresses

Primary practice location

74 Kilburn St
New Bedford, MA 02740-7321

Mailing address

74 Kilburn St
New Bedford, MA 02740-7321
Phone (508) 910-3019

Other identifiers 1

IdentifierTypeStateIssuer
NP0304OtherMEDICARE B PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN153993MAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1851652895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 KILBURN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027407321",
            "telephone_number": "508-910-3019",
            "fax_number": "508-910-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 KILBURN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027407321",
            "telephone_number": "508-910-3019",
            "fax_number": "508-910-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMER",
        "first_name": "FROUKJE",
        "middle_name": "JEANNETTE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN153993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B PROVIDER #",
            "identifier": "NP0304",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.