Active NPI
Jennifer Marie Wayshville, CPNP-PC
- Pediatric Nurse Practitioner
- Boston, MA
National Provider Identifier
1932443165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN2314620
- Practice address
- Boston Children's Hospital
300 Longwood Ave
Boston, MA 02115-5724 - Phone
- (617) 355-6000
- NPI assigned
- Nov 9, 2012
- Reactivated
- Jul 1, 2022
- Last updated
- Jul 5, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN2314620 | MA | Primary |
Addresses
Primary practice location
Boston Children's Hospital
300 Longwood Ave
Boston, MA 02115-5724
Mailing address
Boston Children's Hospital
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2314620 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
| Childrens Hospital Boston | Past | Accepting new patients |
Interoperability endpoints
- jwayshville27768@direct.bostonchildrens.org
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 1457306664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1932443165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOSTON CHILDREN'S HOSPITAL",
"address_2": "300 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BOSTON CHILDREN'S HOSPITAL",
"address_2": "300 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYSHVILLE",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-09",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"deactivation_date": "2022-06-02",
"reactivation_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2314620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.