Active NPI
Eric Matthew Severi, FNP-C
- Family Nurse Practitioner
- West Boylston, MA
National Provider Identifier
1134513120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 215088
- Practice address
- 5 Paul X Tivnan Dr
West Boylston, MA 01583-2191 - Phone
- (508) 854-1852
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 215088 | MA | |
| Family Nurse Practitioner | 363LF0000X | 215088 | MA | Primary |
Addresses
Primary practice location
5 Paul X Tivnan Dr
West Boylston, MA 01583-2191
Mailing address
7 Atwood St
Cherry Valley, MA 01611-3332
Phone (508) 344-1936
Other practice location 1
7 Atwood St
Cherry Valley, MA 01611-3332
Phone (508) 344-1936
Other practice location 2
730 Main St
Millis, MA 02054-1612
Phone (508) 376-2515
Other practice location 3
44 W Boylston St
Worcester, MA 01605-1261
Phone (508) 852-0238
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 |
|---|---|---|---|
| 215088 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1134513120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ATWOOD ST",
"city": "CHERRY VALLEY",
"state": "MA",
"postal_code": "016113332",
"telephone_number": "508-344-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PAUL X TIVNAN DR",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015832191",
"telephone_number": "508-854-1852"
}
],
"practiceLocations": [
{
"address_1": "7 Atwood St",
"address_purpose": "LOCATION",
"city": "Cherry Valley",
"state": "MA",
"postal_code": "016113332",
"country_code": "US",
"telephone_number": "508-344-1936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "730 Main St",
"address_purpose": "LOCATION",
"city": "Millis",
"state": "MA",
"postal_code": "020541612",
"country_code": "US",
"telephone_number": "508-376-2515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44 W Boylston St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016051261",
"country_code": "US",
"telephone_number": "508-852-0238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEVERI",
"first_name": "ERIC",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "215088",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "215088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Boylston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.