Sophie Macdonald, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN2301196 Issued in MA

Practice address

695 Truman Hwy Ste 203
Hyde Park, MA 02136-3552

Phone

(617) 361-1470

NPI assigned

Jun 7, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: smacdonald37969@direct.chppoc.masshiway.net
• Direct secure messaging: bresnahan.sophie.mvp@direct.partners.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hyde Park Pediatrics, P.C.

  • Specialist
  • Hyde Park, MA
  • NPI 1629144555
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1144897448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 HILLSIDE ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865219",
            "telephone_number": "617-549-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 TRUMAN HWY STE 203",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363552",
            "telephone_number": "617-361-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "SOPHIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2301196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bresnahan.Sophie.MVP@direct.partners.masshiway.net",
            "affiliation": "N",
            "address_1": "21 Totman St",
            "city": "Quincy",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021697564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sherri Ellysa Lowe
• Lowney Medical Associates, Inc
• Jeremiah J Lowney, D.O.
• Florise Luc
• Janella Luc
• Stuart J. Macdonald, D.M.D.
• Thamires De Lima Mafra
• James Joseph Mahoney, MD CM
• Sharrone Marcano
• Muthsous Marcel, NP

• Pediatric Nurse Practitioner in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.