Active NPI
Allan Waigera
- Licensed Practical Nurse
- West Boylston, MA
National Provider Identifier
1942665203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LN64512
- Practice address
- 354 W Boylston St
West Boylston, MA 01583-2373 - Phone
- (774) 261-8477
- NPI assigned
- Dec 30, 2015
- Last updated
- Dec 30, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN64512 | MA | Primary |
Addresses
Primary practice location
354 W Boylston St
West Boylston, MA 01583-2373
Mailing address
3 Hazel St
Worcester, MA 01604-1923
Phone (774) 312-0201
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN64512 | MA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allan's Place Extended Comfort Care LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Care Home Facility
- Spokane, WA
- NPI 1154947802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1942665203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HAZEL ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041923",
"telephone_number": "774-312-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 W BOYLSTON ST",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015832373",
"telephone_number": "774-261-8477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAIGERA",
"first_name": "ALLAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MA",
"license": "LN64512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Boylston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.