Individual provider Active NPI

Alyssa Lynn Guarracino

  • Critical Care Medicine Registered Nurse
  • Walpole, MA
National Provider Identifier
1952905804
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
RN2308557 Issued in MA
Practice address
1 Domenica Rd
Walpole, MA 02081-2706
Phone
(781) 831-1740
NPI assigned
Nov 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN2308557 MA Primary

Addresses

Primary practice location

1 Domenica Rd
Walpole, MA 02081-2706

Mailing address

1 Domenica Rd
Walpole, MA 02081-2706
Phone (781) 831-1740

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aguarracino@mgh.harvard.edu Direct

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
RN2308557MAMDCritical Care Medicine Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1952905804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DOMENICA RD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812706",
            "telephone_number": "781-831-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DOMENICA RD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812706",
            "telephone_number": "781-831-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARRACINO",
        "first_name": "ALYSSA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MA",
            "license": "RN2308557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aguarracino@mgh.harvard.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Domenica Rd",
            "city": "Walpole",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020812706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; 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.