Organization Active NPI

Isabella Mariano LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sudbury, MA
National Provider Identifier
1275357311
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ISABELLA MARIANO LLC
Practice address
323 Boston Post Rd Ste 4C
Sudbury, MA 01776-3022
Phone
(978) 443-6960
Fax
(978) 443-6502
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Isabella Bauters, PMHNP-BCNPI 1275919649
Title
NP/Owner
Phone
(978) 443-6960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

323 Boston Post Rd Ste 4C
Sudbury, MA 01776-3022

Mailing address

323 Boston Post Rd Ste 4C
Sudbury, MA 01776-3022
Phone (978) 443-6960

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1275357311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BOSTON POST RD STE 4C",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763022",
            "telephone_number": "978-443-6960",
            "fax_number": "978-443-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BOSTON POST RD STE 4C",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763022",
            "telephone_number": "978-443-6960",
            "fax_number": "978-443-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELLA MARIANO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BAUTERS",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "978-443-6960",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.