Active NPI
Maxine Tutor, CNS
- Adult Psychiatric/Mental Health Registered Nurse
- Boston, MA
National Provider Identifier
1134370554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 111186
- Practice address
- 555 Amory St
Boston, MA 02130-2652 - Phone
- (617) 524-1120
- NPI assigned
- Oct 3, 2008
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 111186 | MA | Primary |
Addresses
Primary practice location
555 Amory St
Boston, MA 02130-2652
Mailing address
49 Robinwood Ave
Boston, MA 02130-2156
Phone (617) 524-1120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851853 | Medicaid | MA |
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111186 | MA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1134370554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 ROBINWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021302156",
"telephone_number": "617-524-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 AMORY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021302652",
"telephone_number": "617-524-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTOR",
"first_name": "MAXINE",
"name_prefix": "Ms.",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "111186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851853",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.