Active NPI
Jo Birdsey, MSN NPCS
- Women's Health Nurse Practitioner
- Revere, MA
National Provider Identifier
1861537235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 84118
- Practice address
- 300 Ocean Ave
MGH RHC
Revere, MA 02151-3675 - Phone
- (781) 485-6000
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 84118 | MA | Primary |
Addresses
Primary practice location
300 Ocean Ave
MGH RHC
Revere, MA 02151-3675
Mailing address
292 Waltham St
West Newton, MA 02465-1721
Phone (617) 244-3031
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84118 | MA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861537235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 WALTHAM ST",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024651721",
"telephone_number": "617-244-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OCEAN AVE",
"address_2": "MGH RHC",
"city": "REVERE",
"state": "MA",
"postal_code": "021513675",
"telephone_number": "781-485-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRDSEY",
"first_name": "JO",
"name_prefix": "Ms.",
"credential": "MSN NPCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MA",
"license": "84118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.