NPIMap

Organization Active NPI

University of Massachusetts

  • Family Medicine Physician
  • North Dartmouth, MA
National Provider Identifier
1043418882
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY OF MASSACHUSETTS
Practice address
285 Old Westport Road
Umass Dartmouth Student Health Services
North Dartmouth, MA 02747-2300
Phone
(508) 999-8982
Fax
(508) 999-8985
NPI assigned
Jul 3, 2007
Organization subpart
Yes
Parent organization
UNIVERSITY OF MASSACHUSETTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Mrs. Marianne Sullivan, DNP, ANP-BC
Title
Director of Student Health Services
Phone
(508) 999-8984

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

285 Old Westport Road
Umass Dartmouth Student Health Services
North Dartmouth, MA 02747-2300

Mailing address

285 Old Westport Road
Umass Dartmouth Student Health Services
North Dartmouth, MA 02747-2300
Phone (508) 999-8982

Other names 1

  • UMass Dartmouth Health Services Doing business as

National Provider Directory

National Provider Directory
Part of
University of Massachusetts

Locations

285 Old Dartmouth Rd
N Dartmouth, MA 02747
Phone (508) 999-8982

285 Old Dartmouth Rd
N Dartmouth, MA 02747
Phone (508) 999-8982

285 Old Westport Rd
North Dartmouth, MA 02747
Phone (508) 999-8648

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1043418882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 OLD WESTPORT ROAD",
            "address_2": "UMASS DARTMOUTH STUDENT HEALTH SERVICES",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027472300",
            "telephone_number": "508-999-8982",
            "fax_number": "508-999-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 OLD WESTPORT ROAD",
            "address_2": "UMASS DARTMOUTH STUDENT HEALTH SERVICES",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027472300",
            "telephone_number": "508-999-8982",
            "fax_number": "508-999-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MASSACHUSETTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MASSACHUSETTS",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT HEALTH SERVICES",
        "authorized_official_telephone_number": "508-999-8984",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, ANP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMass Dartmouth Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UMass Dartmouth Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.