Healthcare Provider Details

I. General information

NPI: 1710822465
Provider Name (Legal Business Name): EMILY RIGNEY
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: EMILY SMITH

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2621
US

IV. Provider business mailing address

45 GRAND VIEW AVE
QUINCY MA
02170-3382
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2390819
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: