Individual provider Active NPI

Sharon T Callender, RN MPH

  • Registered Nurse
  • Mattapan, MA
National Provider Identifier
1962576728
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
149380 Issued in MA
Practice address
1425 Blue Hill Ave
Mattapan, MA 02126
Phone
(617) 898-9053
Fax
(617) 296-5408
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 149380 MA Primary

Addresses

Primary practice location

1425 Blue Hill Ave
Mattapan, MA 02126

Mailing address

45 Marie Ave
Brockton, MA 02302
Phone (508) 559-2957

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
149380MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Medical Center Radiologists, Inc. Past Accepting new patients
Mattapan Community Health Center Inc Past 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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962576728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MARIE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02302",
            "telephone_number": "508-559-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BLUE HILL AVE",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "02126",
            "telephone_number": "617-898-9053",
            "fax_number": "617-296-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLENDER",
        "first_name": "SHARON",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "RN  MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "149380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.