Individual provider Active NPI

Virginia Smith

  • Family Nurse Practitioner
  • Somerville, MA
National Provider Identifier
1881754968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
177340 Issued in MA
Practice address
42 Cross St
Somerville, MA 02145-3246
Phone
(617) 575-5520
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 177340 MA Primary

Addresses

Primary practice location

42 Cross St
Somerville, MA 02145-3246

Mailing address

42 Cross St
Somerville, MA 02145-3246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051206000768 MA Practitioner - Nurse Practitioner 8820018732 Reassigns benefits to 1 organization
I20090128000610 NH Practitioner - Nurse Practitioner 8820018732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

300 Broadway
Somerville, MA 02145-2935
Phone (617) 284-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
177340MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Seacoast Community Health CurrentSince Nov 15, 2011 Accepting new patients
Cambridge Public Health Commission CurrentSince Oct 11, 2010 Accepting new patients
Cambridge Public Health Commission CurrentSince Oct 11, 2010 Accepting new patients

Locations

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

300 Broadway
Somerville, MA 02145
Phone (617) 284-7000

42 Cross St
Somerville, MA 02145
Phone (617) 575-5520

100 Campus Dr
Ste 12
Portsmouth, NH 03801
Phone (603) 422-8208

Interoperability endpoints

  • Direct secure messaging: vsmith10592@direct.challiance.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881754968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CROSS ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021453246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CROSS ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021453246",
            "telephone_number": "617-575-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VIRGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "177340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.