Active NPI
Nancy Coleman Hurley, MD
- Pediatrics Physician
- Andover, MA
National Provider Identifier
1104824986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 77140
- Practice address
- Andover Pediatrics Npi 1548393176
203 Turnpike St, Suite 200
Andover, MA 01845 - Phone
- (978) 475-4522
- Fax
- (978) 688-6047
- NPI assigned
- Jul 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 77140 | MA | Primary |
Addresses
Primary practice location
Andover Pediatrics Npi 1548393176
203 Turnpike St, Suite 200
Andover, MA 01845
Mailing address
Andover Pediatrics Npi 1548393176
203 Turnpike St, Suite 200
Andover, MA 01845
Phone (978) 475-4522
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3140296 | Medicaid | MA | |
| 110055968A | Medicaid | MA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77140 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andover Pediatrics | Pediatrics | Current | Accepting new patients |
Locations
140 Haverhill St
Andover, MA 01810
Phone (978) 470-1616
203 Turnpike St
Ste 200
North Andover, MA 01845
Phone (978) 475-4522
Interoperability endpoints
- nhurley38379@direct.chppoc.masshiway.net
Organizations & group practices 1
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
- North Andover, MA
- NPI 1548393176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1104824986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ANDOVER PEDIATRICS NPI 1548393176",
"address_2": "203 TURNPIKE ST, SUITE 200",
"city": "ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-475-4522",
"fax_number": "978-688-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ANDOVER PEDIATRICS NPI 1548393176",
"address_2": "203 TURNPIKE ST, SUITE 200",
"city": "ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-475-4522",
"fax_number": "978-688-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "NANCY",
"middle_name": "COLEMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "77140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3140296",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110055968A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.