Individual provider Active NPI

Alicia Van Cott, NP

  • Adult Health Nurse Practitioner
  • Weymouth, MA
National Provider Identifier
1063797512
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN266297 Issued in MA
Practice address
90 Libbey Pkwy
Suite 200
Weymouth, MA 02189-3129
Phone
(781) 335-9700
Fax
(781) 335-9709
NPI assigned
Oct 17, 2011
Last updated
Sep 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN266297 MA Primary

Addresses

Primary practice location

90 Libbey Pkwy
Suite 200
Weymouth, MA 02189-3129

Mailing address

90 Libbey Pkwy
Suite 200
Weymouth, MA 02189-3129
Phone (781) 335-9700

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN266297MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Boston University Dermatology, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vancott.alicia.mgh@direct.partners.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1063797512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PKWY",
            "address_2": "SUITE 200",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "781-335-9700",
            "fax_number": "781-335-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PKWY",
            "address_2": "SUITE 200",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "781-335-9700",
            "fax_number": "781-335-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN COTT",
        "first_name": "ALICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN266297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.