Individual provider Active NPI

Mary Claire Lortie, MS, CNP, RN

  • Pediatric Nurse Practitioner
  • Brookline, MA
National Provider Identifier
1104466275
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
129158 Issued in MA
Practice address
10 Vernon St Unit 302
Brookline, MA 02446-4930
Phone
(508) 612-5591
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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 129158 MA Primary

Addresses

Primary practice location

10 Vernon St Unit 302
Brookline, MA 02446-4930

Mailing address

10 Vernon St Unit 302
Brookline, MA 02446-4930
Phone (508) 612-5591

Other names 1

  • Mary Claire Collins Former name

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)
Not enrolled
Credentials
Certified Nurse Practitioner, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
129158MAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1104466275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VERNON ST UNIT 302",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464930",
            "telephone_number": "508-612-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VERNON ST UNIT 302",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464930",
            "telephone_number": "508-612-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORTIE",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "credential": "MS, CNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "129158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "COLLINS",
            "middle_name": "CLAIRE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.