Active NPI
Mary Twombley, NP
- Acute Care Nurse Practitioner
- West Roxbury, MA
National Provider Identifier
1104875376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN2307306
- Practice address
- 1400 VFW Pkwy
West Roxbury, MA 02132-4927 - Phone
- (202) 957-7797
- NPI assigned
- May 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN61064 | DC | |
| Acute Care Nurse Practitioner | 363LA2100X | RN2307306 | MA | Primary |
Addresses
Primary practice location
1400 VFW Pkwy
West Roxbury, MA 02132-4927
Mailing address
110 Irving St NW
#2A38
Washington, DC 20010-2976
Phone (202) 877-3088
Other practice location 1
110 Irving St NW
#2A38
Washington, DC 20010-2976
Phone (202) 877-3088
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 |
|---|---|---|---|
| RN61064 | DC | MD | Nurse Practitioner |
| RN2307306 | MA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Hospital Center Corp | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Washington, DC
- NPI 1881637619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1104875376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"address_2": "#2A38",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102976",
"telephone_number": "202-877-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 VFW PKWY",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021324927",
"telephone_number": "202-957-7797"
}
],
"practiceLocations": [
{
"address_1": "110 Irving St NW",
"address_2": "#2A38",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102976",
"country_code": "US",
"telephone_number": "202-877-3088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TWOMBLEY",
"first_name": "MARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2023-02-06",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "RN61064",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MA",
"license": "RN2307306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.