Individual provider Active NPI

Mark E. Drinkwater, NP

  • Critical Care Medicine Nurse Practitioner
  • Boston, MA
National Provider Identifier
1033357124
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
RN274615 Issued in MA
Practice address
1400 VFW Parkway
Division of Emergency Services
Boston, MA 02132
Phone
(857) 203-5425
NPI assigned
Jan 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN274615 MA
Nurse Practitioner 363L00000X 274615 MA
Critical Care Medicine Nurse Practitioner 363LC0200X RN274615 MA Primary

Addresses

Primary practice location

1400 VFW Parkway
Division of Emergency Services
Boston, MA 02132

Mailing address

1400 VFW Parkway
Boston, MA 02132
Phone (857) 203-5425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
274615MAMDVascular Surgery Physician
RN274615MAMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1033357124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VFW PARKWAY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "857-203-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VFW PARKWAY",
            "address_2": "DIVISION OF EMERGENCY SERVICES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "857-203-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRINKWATER",
        "first_name": "MARK",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN274615",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "274615",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "MA",
            "license": "RN274615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.