VALERIE ROSE VILLANO , NPI 1215217807 — BRIGHTON (MA)

NPI 1215217807

8+ Years Experience Individual

VALERIE ROSE VILLANO

08/26/2011
PROVIDER ENUMERATION DATE
08/29/2011
LAST UPDATE DATE
1215217807
NPI NUMBER

About VALERIE ROSE VILLANO

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

VALERIE ROSE VILLANO is a provider established in BRIGHTON, MA. The NPI number of VALERIE ROSE VILLANO is 1215217807 and was assigned on 08/26/2011. The practitioners primary taxonomy code is: 390200000X .

Mailing address

  • City: BRIGHTON
  • State: MA
  • Postal code: 21353601
  • Address: 77 WARREN ST BLDG 9

Primary Practice Address

  • Region : BRIGHTON, MA
  • NPI : 1215217807
  • Phone : 6172540964
  • Postalcode : 21353601
  • Address : 77 WARREN ST BLDG 9

Provider taxonomy - Student in an Organized Health Care Education/Training Program

  • Taxonomy code: 390200000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Contacts:

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  • VALERIE ROSE VILLANO
  • Address : 77 WARREN ST BLDG 9
  • Region : BRIGHTON, MA
  • NPI : 1215217807
  • Phone : 6172540964
  • Postalcode : 21353601

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address77 WARREN ST BLDG 9
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameBRIGHTON
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code21353601
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6172540964
The telephone number associated with the location address of the provider being identified.
NPI1215217807
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Provider Enumeration Date08/26/2011
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated08/29/2011
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)VALERIE ROSE VILLANO
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address77 WARREN ST BLDG 9
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameBRIGHTON
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code21353601
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Healthcare Provider Taxonomy Code #1390200000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Student in an Organized Health Care Education/Training Program
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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