Active NPIIndividual providerSole proprietor

Caleb J Calder, NURSE PRACTITIONER

Nurse Practitioner, Adult Health in West Roxbury, Massachusetts

NPI Number1134759012
Practice location
1400 Vfw Pkwy, West Roxbury, MA 02132-4927
Fax
—
Last updated
August 25, 2021

Caleb James Calder is a Nurse Practitioner, Adult Health based in West Roxbury, MA. Caleb James Calder practices in West Roxbury, MA and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Caleb James Calder is 1134759012 and holds a License No. RN2278784 (MA). The current practice location address for Caleb James Calder is 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 and can be reached out via phone at 774-826-4900.

Provider Profile Details

NPI Number
1134759012
Provider Name
Caleb James Calder
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
1400 Vfw Pkwy, West Roxbury, MA 02132-4927
Phone Number
774-826-4900
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
January 20, 2020
Last Update Date
August 25, 2021
Certification Date
August 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1400 Vfw Pkwy
West Roxbury, MA 02132-4927
Zip
02132-4927
Phone Number
774-826-4900
West Roxbury, MA 02132Get directions →

Provider Business Mailing Address Details

Address
11 Oakland St
Salem, MA 01970-1520
City
Salem
State
MA
Zip
01970-1520
Phone Number
781-952-9384

License Information

License Number
RN2278784
License State
MA
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Caleb J Calder, NURSE PRACTITIONER?

The NPI number of Caleb J Calder, NURSE PRACTITIONER is 1134759012. It was assigned on January 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Caleb J Calder, NURSE PRACTITIONER?

Caleb J Calder, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number RN2278784.

Where does Caleb J Calder, NURSE PRACTITIONER practice?

The practice location is 1400 Vfw Pkwy, West Roxbury, MA 02132-4927. The office can be reached at 774-826-4900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134759012 directly on the NPPES registry website.

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