Active NPI
Cecelia R. Peterson, R.N.
- Home Health Registered Nurse
- Middleboro, MA
National Provider Identifier
1942440243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 107784
- Practice address
- 74 Ashley LN
Middleboro, MA 02346-3200 - Phone
- (508) 947-9936
- Fax
- (508) 947-7014
- NPI assigned
- Feb 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 107784 | MA | Primary |
Addresses
Primary practice location
74 Ashley LN
Middleboro, MA 02346-3200
Mailing address
74 Ashley LN
Middleboro, MA 02346-3200
Phone (508) 947-9936
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107784 | MA | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1942440243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 ASHLEY LN",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023463200",
"telephone_number": "508-947-9936",
"fax_number": "508-947-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 ASHLEY LN",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023463200",
"telephone_number": "508-947-9936",
"fax_number": "508-947-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "CECELIA",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MA",
"license": "107784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.