Active NPIIndividual providerSole proprietor

Mrs. Jody A Kenneally Chase, CPNP

Nurse Practitioner, Pediatrics in East Boston, Massachusetts

NPI Number1932410123
Practice location
10 Gove St, East Boston, MA 02128-1920
Fax
—
Last updated
January 15, 2013

Jody A Kenneally Chase is a Nurse Practitioner, Pediatrics based in East Boston, MA. Jody A Kenneally Chase practices in East Boston, MA and has the professional credentials of CPNP. The NPI Number for Jody A Kenneally Chase is 1932410123 and holds a License No. 280215 (MA). The current practice location address for Jody A Kenneally Chase is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-568-4477.

Provider Profile Details

NPI Number
1932410123
Provider Name
Jody A Kenneally Chase
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
10 Gove St, East Boston, MA 02128-1920
Phone Number
617-568-4477
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2010
Last Update Date
January 15, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Gove St
East Boston, MA 02128-1920
Zip
02128-1920
Phone Number
617-568-4477
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
10 Gove St
East Boston, MA 02128-1920
City
East Boston
State
MA
Zip
02128-1920
Phone Number
617-568-4477

License Information

License Number
280215
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · 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 Mrs. Jody A Kenneally Chase, CPNP?

The NPI number of Mrs. Jody A Kenneally Chase, CPNP is 1932410123. It was assigned on June 23, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jody A Kenneally Chase, CPNP?

Mrs. Jody A Kenneally Chase, CPNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number 280215.

Where does Mrs. Jody A Kenneally Chase, CPNP practice?

The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-568-4477 (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 1932410123 directly on the NPPES registry website.

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