Individual provider Active NPI

Elizabeth Mary Messineo, PPCNP-BC

  • Pediatrics Physician
  • Westwood, MA
National Provider Identifier
1962025379
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
RN187273 Issued in MA
Practice address
40 Greenhill Rd
Westwood, MA 02090-2704
Phone
(781) 223-3393
NPI assigned
May 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X RN187273 MA Primary

Addresses

Primary practice location

40 Greenhill Rd
Westwood, MA 02090-2704

Mailing address

40 Greenhill Rd
Westwood, MA 02090-2704
Phone (781) 223-3393

Other identifiers 1

IdentifierTypeStateIssuer
RN187273MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL bmessineo240@gmail.com 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
RN187273MAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1962025379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GREENHILL RD",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902704",
            "telephone_number": "781-223-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GREENHILL RD",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902704",
            "telephone_number": "781-223-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINEO",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "RN187273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN187273",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bmessineo240@gmail.com",
            "affiliation": "N",
            "endpointDescription": "gmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 Greenhill Rd",
            "city": "Westwood",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020902704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.