NPI 1275197337 · live from the CMS NPI Registry
Jamie Anastasia
Nurse Practitioner, Pediatrics in Charlestown, MA. National Provider Identifier 1275197337, active.
NPI record
| NPI | 1275197337 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 300 1st Ave, Charlestown, MA 02129 |
| Practice phone | 617-952-5000 |
| Mailing address | 133 Old Road To Nac Cor, Credentialing Department Suite 320, Concord, MA 01742 |
| Enumerated | April 24, 2019 |
| Last updated | May 10, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | RN2308066 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.