Individual provider Active NPI

M. Taylor Fontneau

  • Family Nurse Practitioner
  • Weymouth, MA
National Provider Identifier
1205300985
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2279285 Issued in MA
Practice address
90 Libbey Industrial Pkwy Ste 106
Weymouth, MA 02189
Phone
(781) 682-0630
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2279285 MA Primary

Addresses

Primary practice location

90 Libbey Industrial Pkwy Ste 106
Weymouth, MA 02189

Mailing address

90 Libbey Industrial Pkwy Ste 106
Weymouth, MA 02189-3130
Phone (781) 682-0630

Other names 1

  • Miriam Taylor O'Neil Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tfontneaunp176408@direct.atrius.masshiway.net

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tfontneaunp176408@direct.atrius.masshiway.net

Organizations & group practices 1

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1205300985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LIBBEY INDUSTRIAL PKWY STE 106",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893130",
            "telephone_number": "781-682-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY INDUSTRIAL PKWY STE 106",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02189",
            "telephone_number": "781-682-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTNEAU",
        "first_name": "M. TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2279285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tfontneaunp176408@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "90 Libbey Industrial Pkwy Ste 106",
            "city": "Weymouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MIRIAM TAYLOR",
            "last_name": "O'NEIL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.