Individual provider Active NPI

Mary Holleran, PNP

  • Pediatric Nurse Practitioner
  • Hingham, MA
National Provider Identifier
1083952808
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN263545 Issued in MA
Practice address
39 Scotland St
Hingham, MA 02043-3932
Phone
(301) 257-2522
NPI assigned
Jan 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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 RN263545 MA Primary

Addresses

Primary practice location

39 Scotland St
Hingham, MA 02043-3932

Mailing address

39 Scotland St
Hingham, MA 02043-3932
Phone (301) 257-2522

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
RN263545MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewater Pediatrics LLC Current Accepting new patients
Bright Light ADHD Coahcing Past Accepting new patients

Locations

1029 Pleasant St
Bridgewater, MA 02324
Phone (508) 697-1070

1029 Pleasant St
Ste 100
Bridgewater, MA 02324
Phone (508) 697-8116

Interoperability endpoints

  • Direct secure messaging: mholleran15434@direct.chppoc.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1083952808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SCOTLAND ST",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433932",
            "telephone_number": "301-257-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SCOTLAND ST",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433932",
            "telephone_number": "301-257-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLERAN",
        "first_name": "MARY",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN263545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.