Marilyn M Stelly-Gendron, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

205899 Issued in MA

Practice address

35 Market St
Lowell, MA 01852-6245

Phone

(978) 459-0389

Fax

(978) 459-7642

NPI assigned

Dec 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

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.

• Bridgewell Counseling

  • Mental Health Counselor
  • Lowell, MA
  • NPI 1922316058
  NPD (past)
• LGH Professional Services LLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1417485541
  NPD (past)

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1104981885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MARKET ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018526245",
            "telephone_number": "978-459-0389",
            "fax_number": "978-459-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MARKET ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018526245",
            "telephone_number": "978-459-0389",
            "fax_number": "978-459-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLY-GENDRON",
        "first_name": "MARILYN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-24",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "205899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Faith Stanizzi
• Rachel L Stark, MD
• State of the Art Homecare LLC
• Lauren Anne Stearns
• Mark Stebenne
• Lisa B. Stempler, MA
• Angela E Stephens, PTA
• Andrea Ellen Stern, MD
• Victoria Stevens, MA
• Frank Stewart

• Gerontology Nurse Practitioner in Lowell, MA
• Providers in Lowell, MA by specialty
• Gerontology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.