Individual provider Active NPI

Dana Katter Oliver, N.P.

  • Pediatric Nurse Practitioner
  • Groton, MA
National Provider Identifier
1083861504
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
274414 Issued in MA
Practice address
100 Boston Rd
Suite F
Groton, MA 01450-1879
Phone
(978) 577-0437
Fax
(978) 448-6707
NPI assigned
Aug 27, 2008
Last updated
Jan 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 274414 MA Primary

Addresses

Primary practice location

100 Boston Rd
Suite F
Groton, MA 01450-1879

Mailing address

133 Littleton Rd
Suite 101
Westford, MA 01886-3115
Phone (978) 577-0437

Other identifiers 3

IdentifierTypeStateIssuer
3102812MedicaidNH
110105474AMedicaidMA
5882760OtherMAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180312001826 MA Practitioner - Nurse Practitioner 1456613355 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274414MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics West, PC CurrentSince Feb 16, 2018 Accepting new patients
Pediatrics West Current Accepting new patients
Emerson Hospital Current Accepting new patients
Child and Family Psychological Services, PLLC PastSince Jun 15, 2020 Accepting new patients
Specialty West PLLC Past Accepting new patients

Locations

19 Pierce Ave
Ste B
Fitchburg, MA 01420
Phone (978) 577-0437

120 Boston Rd
Ste 1
Groton, MA 01450
Phone (978) 577-0437

133 Littleton Rd
Ste 103
Westford, MA 01886
Phone (978) 619-5447

133 Littleton Rd
Ste 101
Westford, MA 01886
Phone (978) 577-0437

Interoperability endpoints

  • Direct secure messaging: oliver.dana.epho@direct.partners.masshiway.net

Organizations & group practices 5

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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1083861504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUITE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863115",
            "telephone_number": "978-577-0437",
            "fax_number": "978-692-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOSTON RD",
            "address_2": "SUITE F",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501879",
            "telephone_number": "978-577-0437",
            "fax_number": "978-448-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "DANA",
        "middle_name": "KATTER",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "274414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102812",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110105474A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5882760",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

Verify at the official NPI Registry.