MS. MARY-ELLIN MOORE (NPI# 1689618720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689618720 |
| Entity Type | Individual |
| Full Name | MS. MARY-ELLIN MOORE |
| Credential | FNP |
| Practice Address |
83 Littlefield Rd Newton MA 02459-3010 |
| Mailing Address |
48 Maverick St Dedham MA 02026-2436 |
| Practice Telephone | 6179281530 |
| Practice Fax Number | 6179281531 |
| Mailing Telephone | 7813268193 |
| Mailing Fax Number | 7813268193 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
160595 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BC/BS PROVIDER NUMBER | NP4210 | 01 |
| MA | 0327484 | 05 | |
| MA | RR-FEDERAL BLUE CROSS | P00043183 | 01 |
| Street Address |
83 LITTLEFIELD RD |
| City | NEWTON |
| State | MA |
| Zip Code | 02459-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922057017 | Murali Ramadurai | Family Medicine | 83 Littlefield Rd, Newton, MA 02459-3010 | 2006-05-08 |
| 1457866592 | Marie N Buissereth | Nurse Practitioner | 83 Littlefield Rd, Newton, MA 02459-3010 | 2017-12-12 |
| 1497127906 | Debra Mello-byrne | Registered Nurse | 83 Littlefield Rd, Newton, MA 02459-3010 | 2015-10-22 |
| 1821256173 | Lori E Watson-dilbarian | Nurse Practitioner | 83 Littlefield Rd, Newton, MA 02459-3010 | 2008-05-22 |
| 1972649713 | Elizabeth V Palana-pilapil | Nurse Practitioner | 83 Littlefield Rd, Newton, MA 02459-3010 | 2007-01-29 |
| 1730236787 | Ellen Rudzinski | Nurse Practitioner | 83 Littlefield Rd, Newton, MA 02459-3010 | 2007-01-04 |
| 1891842837 | Ofelia U Solem | Nurse Practitioner | 83 Littlefield Rd, Newton, MA 02459-3010 | 2007-01-04 |
| 1730126871 | Senior Healthcare Associates Inc | Nurse Practitioner | 83 Littlefield Rd, Newton, MA 02459-3010 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843912 | Nancy Smith | Social Worker | 504 Ward St, Newton, MA 02459 | 2018-09-03 |
| 1730608100 | Nicole M La Camera | Counselor | 39 Chestnut Terrace, Newton, MA 02459 | 2017-09-16 |
| 1154851368 | Crmb Physician Group Pllc | Obstetrics & Gynecology | 300 Boylston, Newton Corner, MA 02459 | 2017-06-20 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1073944294 | Aviva Care | In Home Supportive Care | 30 Bontempo Rd, Newton, MA 02459 | 2013-12-13 |
| 1609142017 | Boston Center for Memory, Inc | Psychiatry & Neurology | 180 Wells Ave., Suite 304, Newton, MA 02459 | 2012-03-29 |
| 1053689950 | Deborah Anne Sichel | Psychiatry & Neurology | 446 Brookline Street, Newton, MA 02459 | 2011-12-06 |
| 1437433216 | Micah Walsh Adams | Social Worker | 32 Union St. Suite 3, Newton, MA 02459 | 2011-09-28 |
| 1245532746 | Rochelle Eve Goldin | Occupational Therapist | 333 Nahanton Street, Newton, MA 02459 | 2010-12-03 |
| 1609177302 | Ellen Gail Forst | Speech-Language Pathologist | 333 Nahunton Street, Newton, MA 02459 | 2010-11-11 |
| Find all providers in zip 02459 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318931 | Katherine Lee | Nurse Practitioner | 141 Needham St, Newton, MA 02464-1505 | 2019-10-18 |
| 1891278107 | Jana Hart Brock | Nurse Practitioner | 3389 William Irvin Rd, Newton, GA 39870-7129 | 2018-09-12 |
| 1083112676 | Leatrice M Current | Nurse Practitioner | 112 Kemah Mecca Lake Rd, Newton, NJ 07860-6614 | 2018-01-29 |
| 1629507025 | Marilyn Gamber | Nurse Practitioner | 141 Needham St Ste N205, Newton, MA 02464 | 2017-06-08 |
| 1619423936 | Judieth Darlene Sims | Nurse Practitioner | 858 County Road 426, Newton, AL 36352-3711 | 2016-08-28 |
| 1902289879 | Bridgett Simmons | Nurse Practitioner | 10150 E North Lake Dr, Newton, IL 62448-3461 | 2015-07-09 |
| 1346639267 | Lacey Anderson | Nurse Practitioner | 700 Medical Center Dr Ste 210, Newton, KS 67114-9017 | 2015-01-15 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1346661659 | Business Revenue Corporation | Nurse Practitioner | 615 N 2nd Ave W, Newton, IA 50208-3015 | 2014-01-04 |
| 1316228992 | Melissa Ann Saris | Nurse Practitioner | 978 Boylston Street, Cvs Minute Clinic, Newton, MA 02461 | 2011-09-08 |
| Find all providers in NEWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.