Individual provider Active NPI

Sarah Elizabeth Ryan, CNM

  • Advanced Practice Midwife
  • Boston, MA
National Provider Identifier
1184136582
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN2263979 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(857) 272-7104
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN2263979 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

55 Fruit St
Boston, MA 02114-2621
Phone (617) 724-2229

Other names 1

  • Sarah Elizabeth Abbott Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180207000362 MA Practitioner - Certified Nurse Midwife (CNM) 8628338944 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN2263979MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc CurrentSince Jan 10, 2018 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Nov 15, 2022 Accepting new patients
The General Hospital Corporation CurrentSince Jan 10, 2018 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Nov 15, 2022 Accepting new patients

Locations

48 Dunham Rd
Ste 4150
Beverly, MA 01915

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

575 Mount Auburn St
Ste B102
Cambridge, MA 02138
Phone (617) 240-6713

50 Redfield St
Ste 208
Dorchester, MA 02122

95 Tremont St
Ste 3
Duxbury, MA 02332

1575 N Main St
Fall River, MA 02720
Phone (508) 324-0328

22 South St
Ste 201
Hopkinton, MA 01748

198 Charlton Rd
Ste 206
Sturbridge, MA 01566
Phone (508) 765-1600

91 Washington St
Unit 202
Taunton, MA 02780
Phone (508) 386-9888

210 Bear Hill Rd
Ste 204
Waltham, MA 02451
Phone (518) 321-4537

1275 Elm St
Ste D
West Springfield, MA 01089
Phone (860) 334-4835

349 Route 28
Ste B
West Yarmouth, MA 02673

506 Groton Rd
Ste B
Westford, MA 01886

1221 Main St
Ste 404
Weymouth, MA 02190

23 Warren Ave
Ste 145
Woburn, MA 01801

416 Belmont St
Ste 202
Worcester, MA 01604

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1184136582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-2229",
            "fax_number": "617-724-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "857-272-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN2263979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ABBOTT",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.