Active NPI
Elizabeth Ann McCarthy, PNP, RN
- Pediatric Nurse Practitioner
- Sandwich, MA
National Provider Identifier
1295135705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN2284296
- Practice address
- 68B Route 6a
Sandwich, MA 02563-1719 - Phone
- (508) 833-0269
- Fax
- (508) 833-1467
- NPI assigned
- Sep 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2284296 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | RN2284296 | MA | Primary |
Addresses
Primary practice location
68B Route 6a
Sandwich, MA 02563-1719
Mailing address
PO Box 1719
Sandwich, MA 02563-1719
Phone (508) 833-0269
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)
- Not enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2284296 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Briarpatch Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- emccarthy13286@direct.chppoc.masshiway.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Sandwich, MA
- NPI 1073678157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1295135705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1719",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025631719",
"telephone_number": "508-833-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68B ROUTE 6A",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025631719",
"telephone_number": "508-833-0269",
"fax_number": "508-833-1467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PNP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2284296",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2284296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.