Individual provider Active NPI

Maureen Therese McKay, NP

  • Registered Nurse
  • Falmouth, MA
National Provider Identifier
1154538288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
102355 Issued in MA
Practice address
314 Gifford St
Falmouth, MA 02540-2945
Phone
(508) 539-6666
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 102355 MA Primary

Addresses

Primary practice location

314 Gifford St
Falmouth, MA 02540-2945

Mailing address

79 River Rd
Mashpee, MA 02649-3543
Phone (508) 477-9674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523001673 MA Order and Referring Only - Nurse Practitioner 6204840382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
102355MAMDRegistered Nurse

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBDACA/Endpoint/CBDACA

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154538288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 RIVER RD",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493543",
            "telephone_number": "508-477-9674",
            "fax_number": "508-477-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 GIFFORD ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402945",
            "telephone_number": "508-539-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "MAUREEN",
        "middle_name": "THERESE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "102355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

Verify at the official NPI Registry.