Individual provider Active NPI

Genevieve B Sloboda, CNP

  • Family Nurse Practitioner
  • Acton, MA
National Provider Identifier
1912994195
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
236463 Issued in MA
Practice address
321 Main St
Acton, MA 01720-3718
Phone
(978) 635-8700
Fax
(978) 635-8920
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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 236463 MA Primary

Addresses

Primary practice location

321 Main St
Acton, MA 01720-3718

Mailing address

321 Main St
Acton, MA 01720-3718
Phone (978) 635-8700

Other identifiers 1

IdentifierTypeStateIssuer
0389790MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000719 MA Practitioner - Nurse Practitioner 5799721536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Specialists, PCGroup PAC ID 3577508670, 5 clinicians

Practice addresses (Care Compare)

9 Village SQ
Chelmsford, MA 01824-2712
Phone (978) 256-4531

Merit-based Incentive Payment System (MIPS)

Final score
60.13 of 100Reported as group
Quality
67.82
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236463MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Specialists, PC CurrentSince Sep 9, 2023 Accepting new patients
Allergy & Asthma Specialists, LLC Past Accepting new patients

Locations

11 Village Sq
Chelmsford, MA 01824

200 Sutton St
North Andover, MA 01845
Phone (774) 261-5985

9 Village Sq
South Chelmsford, MA 01824
Phone (978) 256-4531

505 W Hollis St
Ste 101
Nashua, NH 03062
Phone (603) 881-7433

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECCAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1912994195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203718",
            "telephone_number": "978-635-8700",
            "fax_number": "978-635-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203718",
            "telephone_number": "978-635-8700",
            "fax_number": "978-635-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOBODA",
        "first_name": "GENEVIEVE",
        "middle_name": "B",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "236463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0389790",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.