NPIMap

Organization Active NPI

Edith Nourse Rogers Memorial Vamc

  • Special Hospital
  • Lynn, MA
National Provider Identifier
1285685941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
138951 Issued in MA
Legal business name
EDITH NOURSE ROGERS MEMORIAL VAMC
Practice address
225 Boston St
Lynn, MA 01904-2405
Phone
(178) 123-3463
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ann Mary Des Loges, MSN RN ANP
Title
Nurse Practitioner
Phone
(781) 687-4923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 138951 MA Primary

Addresses

Primary practice location

225 Boston St
Lynn, MA 01904-2405

Mailing address

7 Bacon Dr
Saugus, MA 01906-2405
Phone (178) 123-3463

Other names 1

  • LYNN CBOC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285685941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BACON DR",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062405",
            "telephone_number": "178-123-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BOSTON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042405",
            "telephone_number": "178-123-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDITH NOURSE ROGERS MEMORIAL VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DES LOGES",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "17816874923",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN RN ANP"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "MA",
            "license": "138951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LYNN CBOC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.