Individual provider Active NPI

Mary F Higgins, FNP-BC

  • Family Nurse Practitioner
  • Ipswich, MA
National Provider Identifier
1093064164
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN280911 Issued in MA
Practice address
36 Essex Rd
Lahey Ipswich
Ipswich, MA 01938-2599
Phone
(978) 356-5522
Fax
(978) 356-0218
NPI assigned
Sep 5, 2012
Last updated
Aug 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN280911 MA Primary

Addresses

Primary practice location

36 Essex Rd
Lahey Ipswich
Ipswich, MA 01938-2599

Mailing address

36 Essex Rd
Lahey Ipswich
Ipswich, MA 01938-2599
Phone (978) 356-5522

Other identifiers 1

IdentifierTypeStateIssuer
110095175AMedicaidMA

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
RN280911MAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1093064164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ESSEX RD",
            "address_2": "LAHEY IPSWICH",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382599",
            "telephone_number": "978-356-5522",
            "fax_number": "978-356-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ESSEX RD",
            "address_2": "LAHEY IPSWICH",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382599",
            "telephone_number": "978-356-5522",
            "fax_number": "978-356-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "MARY",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN280911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110095175A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ipswich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.