Susan Elizabeth Mullaney, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

189423 Issued in MA

Practice address

950 Winter St
Suite 3800
Waltham, MA 02451-1424

Phone

(781) 472-8503

Fax

(781) 472-8801

NPI assigned

Dec 21, 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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114081247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 HUNNEWELL ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941421",
            "telephone_number": "781-449-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WINTER ST",
            "address_2": "SUITE 3800",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511424",
            "telephone_number": "781-472-8503",
            "fax_number": "781-472-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLANEY",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "189423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Moushegian, LCSW
• Lindsey Mower, MS, CCC-SLP
• Patricia L. Moynihan, RN
• Mt Auburn Hospital
• Evalyne Namutebi Mubiru
• Charlotte H Mullen, CCC-A
• Philip Ryan Mullins
• Catherine Ann Mullooly, RCEP, CDE
• Multiple Sclerosis Specialty Center, LLC (810 MS Specialty Center)
• Michelle Mund, PSY.D.

• Gerontology Nurse Practitioner in Waltham, MA
• Providers in Waltham, 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 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.

Verify at the official NPI Registry.