Nicolette Shayevich

Physician Assistant · Bedford, MA

Individual Active NPI

NPI number 1609581925

Practice location

154 Great Rd
Bedford, MA 01730-2725
Phone
(508) 383-1000

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NPI record

NPI
1609581925
Entity type
Individual (Type 1)
Enumeration date
January 20, 2023
Last updated
August 8, 2025
Certified
August 8, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA101112 MA
Medical Physician Assistant 363AM0700X — —

Mailing address

211 Captain Eames Cir
Ashland, MA 01721-3915
Phone
(508) 614-8004

Other practice locations (1)

  • 115 Lincoln St, Framingham, MA 01702-6358 · (508) 383-1000

About Nicolette Shayevich

Nicolette Shayevich is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 154 Great Rd, Bedford, MA 01730-2725. The NPI number 1609581925 was assigned on January 20, 2023 and the record was last updated on August 8, 2025.

Nicolette Shayevich lists a license in the registry: #PA101112 (MA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicolette Shayevich?

The NPI number is 1609581925.

What is the phone number of Nicolette Shayevich?

The phone number listed for the practice location is (508) 383-1000.

Where is Nicolette Shayevich located?

154 Great Rd, Bedford, MA 01730-2725.

What is the taxonomy code for Nicolette Shayevich?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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