Active NPI
Cindy Lee Feliciano, NP
- Nurse Practitioner
- Charlestown, MA
National Provider Identifier
1306986575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 263307
- Practice address
- 1 Constitution PLZ Ste 140
Charlestown, MA 02129 - Phone
- (617) 724-5202
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 263307 | MA | |
| Nurse Practitioner | 363L00000X | 263307 | MA | Primary |
Addresses
Primary practice location
1 Constitution PLZ Ste 140
Charlestown, MA 02129
Mailing address
34 Elmwood Cir
Peabody, MA 01960-4832
Phone (978) 825-1107
Other practice location 1
47 Congress St
Salem, MA 01970-7308
Phone (978) 744-8388
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1306986575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 ELMWOOD CIR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019604832",
"telephone_number": "978-825-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CONSTITUTION PLZ STE 140",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "02129",
"telephone_number": "617-724-5202"
}
],
"practiceLocations": [
{
"address_1": "47 Congress St",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "MA",
"postal_code": "019707308",
"country_code": "US",
"telephone_number": "978-744-8388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FELICIANO",
"first_name": "CINDY",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "263307",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "263307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.