Individual provider Active NPI

Marie Michelle Zephyr

  • Licensed Practical Nurse
  • Mattapan, MA
National Provider Identifier
1255240099
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN1004141 Issued in MA
Practice address
18 Rugby Rd Apt 2
Mattapan, MA 02126-3209
Phone
(617) 980-1873
NPI assigned
Sep 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN1004141 MA Primary

Addresses

Primary practice location

18 Rugby Rd Apt 2
Mattapan, MA 02126-3209

Mailing address

18 Rugby Rd Apt 2
Mattapan, MA 02126-3209
Phone (617) 980-1873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1255240099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RUGBY RD APT 2",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021263209",
            "telephone_number": "617-980-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RUGBY RD APT 2",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021263209",
            "telephone_number": "617-980-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPHYR",
        "first_name": "MARIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN1004141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.