Mary Lyn Fleurimond, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95025751 Issued in CA

Practice address

2490 Hospital Dr Ste 211
Mountain View, CA 94040-4125

Phone

(650) 988-7781

NPI assigned

Jul 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• El Camino Health Medical Network, LLC

  • Multi-Specialty Clinic/Center
  • San Jose, CA
  • NPI 1164880761
  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1245075159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951030342",
            "telephone_number": "561-866-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR STE 211",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404125",
            "telephone_number": "650-988-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEURIMOND",
        "first_name": "MARY LYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "758391",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James William Fisher, DDS
• Ashli Imani Fitts
• George H. Fitzgerald, DC
• Brandi Fitzsimmons, RD
• Caroline Cozza Fleck, PHD
• Arturo Garcia Refugio Flores
• Kristoffer Flores
• Florida Cardiac Health Medical Group, P.a
• Teresa Chun Flory, M.D,
• Patrice Marie Flowers, LPC

• Nurse Practitioner in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.