Active NPI
Elizabeth Bamford Flynn, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Lowell, MA
National Provider Identifier
1114025889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 145223
- Practice address
- 391 Varnum Ave
Lowell, MA 01854-2119 - Phone
- (978) 322-5183
- NPI assigned
- Sep 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 145223 | MA | Primary |
Addresses
Primary practice location
391 Varnum Ave
Lowell, MA 01854-2119
Mailing address
8 Severance Dr
Londonderry, NH 03053-3118
Phone (603) 437-1028
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145223 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114025889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SEVERANCE DR",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533118",
"telephone_number": "603-437-1028",
"fax_number": "978-322-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542119",
"telephone_number": "978-322-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "ELIZABETH",
"middle_name": "BAMFORD",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "145223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.