Active NPI
Teresa Roy
- Nurse Practitioner
- Waltham, MA
National Provider Identifier
1952454910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 216085
- Practice address
- 950 Winter St
Waltham, MA 02451-1424 - Phone
- (781) 472-8772
- NPI assigned
- Jan 20, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 216085 | MA | Primary |
Addresses
Primary practice location
950 Winter St
Waltham, MA 02451-1424
Mailing address
3 Noon Hill Ave
Norfolk, MA 02056-1118
Phone (508) 553-9850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216085 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952454910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NOON HILL AVE",
"city": "NORFOLK",
"state": "MA",
"postal_code": "020561118",
"telephone_number": "508-553-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 WINTER ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511424",
"telephone_number": "781-472-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "216085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.