Active NPI
Stephanie Carlezon, NP
- Pediatrics Physician
- Attleboro, MA
National Provider Identifier
1104285584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- RN2299197
- Practice address
- 159 Pleasant St
Attleboro, MA 02703-2422 - Phone
- (508) 223-2474
- Fax
- (508) 342-1922
- NPI assigned
- Feb 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN02820 | RI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | RN2299197 | MA | |
| Pediatrics Physician | 208000000X | RN2299197 | MA | Primary |
Addresses
Primary practice location
159 Pleasant St
Attleboro, MA 02703-2422
Mailing address
159 Pleasant St
Attleboro, MA 02703-2422
Phone (508) 223-2474
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2299197 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates Inc. of Brockton | Pediatrics | Past | Accepting new patients |
| Children'S Hospital Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1104285584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 PLEASANT ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032422",
"telephone_number": "508-223-2474",
"fax_number": "508-342-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 PLEASANT ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032422",
"telephone_number": "508-223-2474",
"fax_number": "508-342-1922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLEZON",
"first_name": "STEPHANIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "RI",
"license": "APRN02820",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "RN2299197",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "RN2299197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.