Active NPI
Lily Motta, RN
- Psychiatric/Mental Health Nurse Practitioner
- Cambridge, MA
National Provider Identifier
1225676265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2328833
- Practice address
- 330 Mount Auburn St
Cambridge, MA 02138-5502 - Phone
- (617) 492-3500
- NPI assigned
- Dec 19, 2019
- Last updated
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2328833 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2328833 | MA | Primary |
Addresses
Primary practice location
330 Mount Auburn St
Cambridge, MA 02138-5502
Mailing address
115 Mill St
Belmont, MA 02478-1048
Other practice location 1
36 1st Ave
Charlestown, MA 02129-4557
Phone (617) 726-2947
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2328833 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1225676265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MILL ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502",
"telephone_number": "617-492-3500"
}
],
"practiceLocations": [
{
"address_1": "36 1st Ave",
"address_purpose": "LOCATION",
"city": "Charlestown",
"state": "MA",
"postal_code": "021294557",
"country_code": "US",
"telephone_number": "617-726-2947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOTTA",
"first_name": "LILY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2328833",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2328833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.