Maureen Anne Connolly, RNC, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

164581 Issued in MA

Practice address

303 Upland Ave
Newton Highlands, MA 02461-2002

Phone

(617) 964-6808

Fax

(617) 964-6809

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043336761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 UPLAND AVE",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024612002",
            "telephone_number": "617-964-6808",
            "fax_number": "617-964-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 UPLAND AVE",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024612002",
            "telephone_number": "617-964-6808",
            "fax_number": "617-964-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "MAUREEN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RNC, ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "164581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Brennan-Nathan, LICSW
• Eugene Bubis, ND, LDN
• Benjamin Michael Cabral, PA-C
• Rachel Kolb Chimberg, MSW
• Edward Cohen, D.M.D.
• Hailey Crean, MS, RD, CDE
• Direct Health for Women LLC
• East-West Transportation, Inc.
• Tamar Esther Faintuch, LICSW
• Sara Rita Falk, MSW LICSW

• Adult Health Nurse Practitioner in Newton Highlands, MA
• Providers in Newton Highlands, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.