Active NPI
Arielle Berish
- Pediatric Nurse Practitioner
- Brockton, MA
National Provider Identifier
1912406273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN2313897
- Practice address
- 179 Quincy St
Brockton, MA 02302-2966 - Phone
- (508) 427-7700
- NPI assigned
- Feb 1, 2018
- Last updated
- Sep 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN2313897 | MA | Primary |
| Pediatric Registered Nurse | 163WP0200X | RN2313897 | MA |
Addresses
Primary practice location
179 Quincy St
Brockton, MA 02302-2966
Mailing address
10 Seaport Dr
Quincy, MA 02171-1582
Phone (781) 413-1033
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2313897 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Pediatric Associates Inc | Current | Accepting new patients | |
| Pediatric Associates Inc. of Brockton | Past | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491
179 Quincy St
Brockton, MA 02302
Phone (508) 427-7700
Interoperability endpoints
- aberish22058@direct.chppoc.masshiway.net
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Boston, MA
- NPI 1477590511
-
- Pediatrics Physician
- Brockton, MA
- NPI 1649389552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1912406273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SEAPORT DR",
"city": "QUINCY",
"state": "MA",
"postal_code": "021711582",
"telephone_number": "781-413-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 QUINCY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022966",
"telephone_number": "508-427-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERISH",
"first_name": "ARIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2313897",
"primary": true
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "MA",
"license": "RN2313897",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.