Individual provider Active NPI

Heidi Boliski

  • Licensed Practical Nurse
  • Greenfield, MA
National Provider Identifier
1942925276
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN10076 Issued in MA
Practice address
50 Miles St
Greenfield, MA 01301-3241
Phone
(413) 774-3321
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN10076 MA Primary

Addresses

Primary practice location

50 Miles St
Greenfield, MA 01301-3241

Mailing address

50 Miles St
Greenfield, MA 01301-3241
Phone (413) 774-3321

Other identifiers 1

IdentifierTypeStateIssuer
LN100776OtherMALPN

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

LicenseStateTypeSpecialty
LN10076MAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians PC PastSince Oct 16, 2022 Accepting new patients
Community Health Care, Inc. Licensed Practical Nurse PastSince Oct 16, 2022 Accepting new patients

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1942925276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MILES ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013241",
            "telephone_number": "413-774-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MILES ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013241",
            "telephone_number": "413-774-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLISKI",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN10076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "LN100776",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.