Individual provider Active NPI

Anya V Cabot

  • Adult Health Nurse Practitioner
  • Malden, MA
National Provider Identifier
1184261075
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN259638 Issued in MA
Practice address
107 Highland Ave
Malden, MA 02148-6623
Phone
(617) 233-7971
NPI assigned
Dec 10, 2019
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN259638 MA Primary
Primary Care Nurse Practitioner 363LP2300X RN259638 MA

Addresses

Primary practice location

107 Highland Ave
Malden, MA 02148-6623

Mailing address

107 Highland Ave
Malden, MA 02148-6623
Phone (617) 233-7971

Other practice location 1

41 Mall Rd
Burlington, MA 01805-6623
Phone (781) 744-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201119003067 ME Practitioner - Nurse Practitioner 1254742414
I20211227001209 MA Practitioner - Nurse Practitioner 1254742414 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN259638MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc CurrentSince Sep 1, 2023 Accepting new patients
Maya Berdzenishvili MD LLC CurrentSince Dec 3, 2021 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Dec 9, 2025 Accepting new patients
Lahey Clinic, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 1, 2022 Accepting new patients
Complexcare Medical Group Northeast H PLLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

61 Cooper St
Agawam, MA 01001
Phone (413) 294-6800

400 Groton Rd
Ayer, MA 01432
Phone (508) 772-1704

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

11 North St
Stoneham, MA 02180
Phone (603) 759-4559

146 Dean St
Taunton, MA 02780
Phone (508) 823-0767

41800 W 10 Mile Rd
Ste 109
Novi, MI 48375

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1184261075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HIGHLAND AVE",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486623",
            "telephone_number": "617-233-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HIGHLAND AVE",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486623",
            "telephone_number": "617-233-7971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018056623",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABOT",
        "first_name": "ANYA",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN259638",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN259638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.