Active NPI
Jamilah Fallatah
- Registered Nurse
- Brookline, MA
National Provider Identifier
1952809220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2307854
- Practice address
- 519 Washington St Apt 16
Brookline, MA 02446-4556 - Phone
- (617) 230-4366
- NPI assigned
- Jan 31, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | |||
| Registered Nurse | 163W00000X | RN2307854 | MA | Primary |
Addresses
Primary practice location
519 Washington St Apt 16
Brookline, MA 02446-4556
Mailing address
519 Washington St Apt 16
Brookline, MA 02446-4556
Phone (617) 230-4366
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 |
|---|---|---|---|
| RN2307854 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1952809220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 WASHINGTON ST APT 16",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464556",
"telephone_number": "617-230-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 WASHINGTON ST APT 16",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464556",
"telephone_number": "617-230-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLATAH",
"first_name": "JAMILAH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-31",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2307854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.