Active NPI
Pinnacle Healthcare Services LLC
- Gerontology Nurse Practitioner
- Braintree, MA
National Provider Identifier
1942635339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 184437
- Legal business name
- PINNACLE HEALTHCARE SERVICES LLC
- Practice address
- 140 Wood Rd
Braintree, MA 02184 - Phone
- (781) 884-1539
- Fax
- (781) 228-6185
- NPI assigned
- Sep 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Avril Joan Jackson-Black, NP
- Title
- Ceo
- Phone
- (781) 510-9793
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 184437 | MA | |
| Gerontology Nurse Practitioner | 363LG0600X | 184437 | MA | Primary |
Addresses
Primary practice location
140 Wood Rd
Braintree, MA 02184
Mailing address
140 Wood Rd Ste 104
Braintree, MA 02184-2512
Phone (781) 884-1539
Other practice location 1
501 Cordwainer Dr
Norwell, MA 02061-1630
Phone (781) 982-7450
Other practice location 2
277 Washington St
Abington, MA 02351-2489
Phone (781) 871-0200
Other practice location 3
115 North Ave
Rockland, MA 02370-2129
Phone (781) 878-3308
Other practice location 4
329 Washington St
Norwell, MA 02061-1737
Phone (781) 659-4901
Other practice location 5
64 Performance Dr
East Weymouth, MA 02189-3104
Phone (781) 871-0200
Other practice location 6
56 Webster St
Rockland, MA 02370-1737
Phone (781) 871-0555
Other practice location 7
2 Beaumont Ave
Brockton, MA 02302-3302
Phone (508) 588-8550
Other practice location 8
17 Chipman Way
Kingston, MA 02364-1039
Phone (781) 585-4100
Other practice location 9
50 Indian Neck Rd
Wareham, MA 02571-2174
Phone (508) 295-6264
Other practice location 10
140 Wood Rd
Braintree, MA 02184
Phone (781) 884-1539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S100104802 | Other | MA | MEDICARE PTAN |
Other names 1
- Pinnacle Healthcare Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
140 Wood Rd
Ste 104
Braintree, MA 02184
Phone (781) 884-1538
160 Grove St
Braintree, MA 02184
Phone (781) 843-3700
140 Wood Rd
Braintree, MA 02184
Phone (781) 884-1539
7 Snuggles Way
East Freetown, MA 02717
Phone (774) 849-5189
695 S Precinct St
East Taunton, MA 02718
Phone (508) 386-1196
1200 Brush Hill Rd
Milton, MA 02186
Phone (617) 333-0600
184 Lincoln St
North Easton, MA 02356
Phone (508) 238-7053
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Braintree, MA
- NPI 1336172360
-
- Family Nurse Practitioner
- Milton, MA
- NPI 1730316936
-
- Family Nurse Practitioner
- Weymouth, MA
- NPI 1295387991
-
- Family Nurse Practitioner
- Milton, MA
- NPI 1154542652
-
- Gerontology Nurse Practitioner
- South Weymouth, MA
- NPI 1467033522
-
- Adult Health Nurse Practitioner
- Canton, MA
- NPI 1821307646
-
- Primary Care Nurse Practitioner
- Brockton, MA
- NPI 1124551387
-
- Nurse Practitioner
- Braintree, MA
- NPI 1104778000
-
- Internal Medicine Physician
- Braintree, MA
- NPI 1144252248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568678400000",
"number": "1942635339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 WOOD RD STE 104",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021842512",
"telephone_number": "781-884-1539",
"fax_number": "781-228-6185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 WOOD RD",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "02184",
"telephone_number": "781-884-1539",
"fax_number": "781-228-6185"
}
],
"practiceLocations": [
{
"address_1": "501 Cordwainer Dr",
"address_purpose": "LOCATION",
"city": "Norwell",
"state": "MA",
"postal_code": "020611630",
"country_code": "US",
"telephone_number": "781-982-7450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "277 Washington St",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "MA",
"postal_code": "023512489",
"country_code": "US",
"telephone_number": "781-871-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 North Ave",
"address_purpose": "LOCATION",
"city": "Rockland",
"state": "MA",
"postal_code": "023702129",
"country_code": "US",
"telephone_number": "781-878-3308",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "329 Washington St",
"address_purpose": "LOCATION",
"city": "Norwell",
"state": "MA",
"postal_code": "020611737",
"country_code": "US",
"telephone_number": "781-659-4901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "64 Performance Dr",
"address_purpose": "LOCATION",
"city": "East Weymouth",
"state": "MA",
"postal_code": "021893104",
"country_code": "US",
"telephone_number": "781-871-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "56 Webster St",
"address_purpose": "LOCATION",
"city": "Rockland",
"state": "MA",
"postal_code": "023701737",
"country_code": "US",
"telephone_number": "781-871-0555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Beaumont Ave",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023023302",
"country_code": "US",
"telephone_number": "508-588-8550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 Chipman Way",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "MA",
"postal_code": "023641039",
"country_code": "US",
"telephone_number": "781-585-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Indian Neck Rd",
"address_purpose": "LOCATION",
"city": "Wareham",
"state": "MA",
"postal_code": "025712174",
"country_code": "US",
"telephone_number": "508-295-6264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Wood Rd",
"address_purpose": "LOCATION",
"city": "Braintree",
"state": "MA",
"postal_code": "02184",
"country_code": "US",
"telephone_number": "781-884-1539",
"fax_number": "781-228-6185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PINNACLE HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-05",
"last_updated": "2019-09-17",
"status": "A",
"authorized_official_last_name": "JACKSON-BLACK",
"authorized_official_first_name": "AVRIL",
"authorized_official_middle_name": "JOAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "781-510-9793",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "184437",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "184437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "S100104802",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pinnacle Healthcare Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pinnacle Healthcare Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.