Active NPI
Mary Poillucci, RNNP
- Family Nurse Practitioner
- Framingham, MA
National Provider Identifier
1124544515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2261419
- Practice address
- 99 Lincoln St
Framingham, MA 01702-6327 - Phone
- (508) 875-4811
- Fax
- (508) 875-5942
- NPI assigned
- Aug 17, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2261419 | MA | Primary |
Addresses
Primary practice location
99 Lincoln St
Framingham, MA 01702-6327
Mailing address
99 Lincoln St
Framingham, MA 01702-6327
Phone (508) 875-4811
Other practice location 1
99 Lincoln St
Framingham, MA 01702-6327
Phone (508) 875-4811
Other names 1
- Mary Mullins
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 |
|---|---|---|---|
| RN2261419 | MA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124544515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 LINCOLN ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026327",
"telephone_number": "508-875-4811",
"fax_number": "508-875-5942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 LINCOLN ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026327",
"telephone_number": "508-875-4811",
"fax_number": "508-875-5942"
}
],
"practiceLocations": [
{
"address_1": "99 Lincoln St",
"address_purpose": "LOCATION",
"city": "Framingham",
"state": "MA",
"postal_code": "017026327",
"country_code": "US",
"telephone_number": "508-875-4811",
"fax_number": "508-875-5942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POILLUCCI",
"first_name": "MARY",
"credential": "RNNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2261419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "MULLINS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.