Individual provider Active NPI

Evelyne L Delori, RNCS MSN

  • Family Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1003881475
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
228032 Issued in MA
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

Updated by the provider on Nov 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NP346601OtherMAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629001163 MA Practitioner - Nurse Practitioner 0547206542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
228032MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell Community Health Center, Inc. CurrentSince Jan 1, 2008 Accepting new patients
Lowell Community Health Center, Inc. CurrentSince Jan 1, 2008 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.