Sharron Jane Ducimo, R.N.

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

130134 Issued in MA

Practice address

45 Summer St
Emergency Service Program
Leominster, MA 01453-3228

Phone

(978) 534-3372

Fax

(978) 537-4966

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1982617536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SUMMER ST",
            "address_2": "EMERGENCY SERVICE PROGRAM",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533228",
            "telephone_number": "978-534-3372",
            "fax_number": "978-537-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SUMMER ST",
            "address_2": "EMERGENCY SERVICE PROGRAM",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533228",
            "telephone_number": "978-534-3372",
            "fax_number": "978-537-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCIMO",
        "first_name": "SHARRON",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "130134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Registered Nurse in Leominster, MA
• Providers in Leominster, MA by specialty
• Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.