Active NPI
Evelyne L Delori, RNCS MSN
- Family Nurse Practitioner
- Lowell, MA
National Provider Identifier
1003881475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 228032
- Practice address
- 585 597 Merrimack Street
Lowell Community Health Center
Lowell, MA 01854 - Phone
- (978) 746-7778
- Fax
- (978) 970-0359
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 228032 | MA | Primary |
Addresses
Primary practice location
585 597 Merrimack Street
Lowell Community Health Center
Lowell, MA 01854
Mailing address
585 597 Merrimack Street
Lowell Community Health Center
Lowell, MA 01854
Phone (978) 746-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP346601 | Other | MA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228032 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowell Community Health Center, Inc. | Current | Accepting new patients | |
| Lowell Community Health Center, Inc. | Current | Accepting new patients |
Locations
161 Jackson St
Lowell, MA 01852
Phone (978) 746-7867
101 Jackson St
Lowell, MA 01852
Phone (978) 459-8656
585 Merrimack St
Lowell, MA 01854
Phone (978) 746-7778
Interoperability endpoints
- edelori19058@direct.ctc.masshiway.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Lowell, MA
- NPI 1952307530
-
- Community/Retail Pharmacy
- Lowell, MA
- NPI 1295587368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1003881475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 597 MERRIMACK STREET",
"address_2": "LOWELL COMMUNITY HEALTH CENTER",
"city": "LOWELL",
"state": "MA",
"postal_code": "01854",
"telephone_number": "978-746-7778",
"fax_number": "978-970-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 597 MERRIMACK STREET",
"address_2": "LOWELL COMMUNITY HEALTH CENTER",
"city": "LOWELL",
"state": "MA",
"postal_code": "01854",
"telephone_number": "978-746-7778",
"fax_number": "978-970-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELORI",
"first_name": "EVELYNE",
"middle_name": "L",
"credential": "RNCS MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "228032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "NP346601",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.