Active NPI
Mary Ann Germain, RN CS
- Registered Nurse
- Worcester, MA
National Provider Identifier
1245293745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 109995
- Practice address
- 198 Russell St
Worcester, MA 01609 - Phone
- (508) 753-1313
- Fax
- (508) 753-5100
- NPI assigned
- Apr 7, 2006
- Last updated
- May 4, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 109995 | MA | Primary |
Addresses
Primary practice location
198 Russell St
Worcester, MA 01609
Mailing address
198 Russell St
Worcester, MA 01609
Phone (508) 753-1313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1858505 | Medicaid | MA |
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
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109995 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1245293745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 RUSSELL ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01609",
"telephone_number": "508-753-1313",
"fax_number": "508-753-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 RUSSELL ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01609",
"telephone_number": "508-753-1313",
"fax_number": "508-753-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERMAIN",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "RN CS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "109995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1858505",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.