Mariah M Pelkey, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN12110 Issued in RI

Practice address

56 Ititching Post Drive
Walpole, MA 08081

Phone

(401) 585-3226

NPI assigned

Mar 31, 2022

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vaccine Solutions, LLC

  • Clinic/Center
  • Walpole, MA
  • NPI 1720721970
  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1053051631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 POST RD APT 1105",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867000",
            "telephone_number": "401-585-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ITITCHING POST DRIVE",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "08081",
            "telephone_number": "401-585-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 ledgview way",
            "address_purpose": "LOCATION",
            "city": "Wrentham",
            "state": "MA",
            "postal_code": "02903",
            "country_code": "US",
            "telephone_number": "401-585-3226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELKEY",
        "first_name": "MARIAH",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "RI",
            "license": "LPN12110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Outlook",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure work email, HIPPA protected",
            "address_1": "30 ledgview way",
            "city": "Wrentham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Secure",
            "affiliation": "N",
            "endpointDescription": "MIIS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "56 Ititching Post Drive",
            "city": "Walpole",
            "state": "MA",
            "country_code": "US",
            "postal_code": "08081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mohil Patel
• Sejalben Patel, PHARMD
• Nathalia Patino, MA
• Matthew Peculis, PMHNP
• Pediatric Smiles of Walpole LLC
• Kendra Pennine, DC
• Personalized Psychological Consulting LLC
• Kristen S Pessa
• Scott Fraser Petrie, DMD
• Lisa Ann Petrosevich

• Licensed Practical Nurse in Walpole, MA
• Providers in Walpole, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.