Mary Elizabeth Cooley, APN-BC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

238634 Issued in MA

Practice address

44 Binney St
CP-301
Boston, MA 02115-6013

Phone

(617) 632-4653

Fax

(617) 582-8550

NPI assigned

Dec 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1306175401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BINNEY ST",
            "address_2": "CP-301",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156013",
            "telephone_number": "617-632-4653",
            "fax_number": "617-582-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BINNEY ST",
            "address_2": "CP-301",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156013",
            "telephone_number": "617-632-4653",
            "fax_number": "617-582-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "238634",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "238634",
            "primary": false
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "MA",
            "license": "238634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS CONTROLLED SUBSTANCE REGISTRATIOM",
            "identifier": "MC07617851",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Erin Cookson, APRN
• Cool Care LLC
• Josephine Cool, MD
• Emma Casey Cooley
• Jacob Gregory Cooley, DNP, CRNA
• Alexis Coolidge
• Elizabeth Coolidge, LMHC
• Ramsey Coolidge, LMHC
• Lyndsay Coombs
• Sarah Coombs, LMHC, LADC

• Registered Nurse in Boston, MA
• Providers in Boston, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.