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JACQUELINE MARIE BURGOYNE NP
NPI 1174948475
Nurse Practitioner - Adult Health in Waltham, MA

Active since February 23, 2014
BENTLEY UNIVERSITY HEALTH CENTER, RHODES HALL 175 FOREST STREET, WALTHAM, MA 02452(781) 891-2222 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Marie Burgoyne Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE MARIE BURGOYNE NP (NPI 1174948475) is an individual adult health provider in Waltham, Massachusetts, licensed in Massachusetts (RN2284440) and active in the NPI registry since February 2014. She maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1174948475
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJACQUELINE MARIE BURGOYNECredential: NP
Location AddressBENTLEY UNIVERSITY HEALTH CENTER, RHODES HALL 175 FOREST STREETWaltham, MA 02452-0214
Mailing AddressBentley University Health Center, Rhodes Hall 175 Forest StreetWaltham, MA 02452 · (781) 891-2222
Phone(781) 891-2222
Sole ProprietorNo
Enumeration DateFebruary 23, 2014
Last NPPES UpdateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1174948475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · RN2284440
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2284440 (MA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN2284440 (MA)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License RN2284440 (MA)
BENTLEY UNIVERSITY HEALTH CENTER, Waltham, MA 02452
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Secondary Practice Location 1

Location 1725 Albany Street, Shapiro 5 & 6Boston, MA 02118 · Phone (617) 414-5951 · Fax (617) 414-9201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Burgoyne's NPI number?

The NPI number for Jacqueline Burgoyne is 1174948475. It was assigned to this individual provider in the NPPES registry on February 23, 2014.

Where is Jacqueline Burgoyne located?

Jacqueline Burgoyne practices at Bentley University Health Center Rhodes Hall 175 Forest Street, Waltham, MA 02452. The listed phone number is (781) 891-2222.

What is Jacqueline Burgoyne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Jacqueline Burgoyne was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.