Active NPI
Lucineia Tancredo, N.P.
- Family Nurse Practitioner
- Boston, MA
National Provider Identifier
1316272594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN274179
- Practice address
- 84 State St
Suite 660
Boston, MA 02109-2202 - Phone
- (800) 370-3651
- Fax
- (860) 510-0020
- NPI assigned
- Oct 6, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN274179 | MA | Primary |
Addresses
Primary practice location
84 State St
Suite 660
Boston, MA 02109-2202
Mailing address
50 Cordaville Rd
Ashland, MA 01721-1031
Phone (508) 881-9333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Plus | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
3 Allied Dr
Dedham, MA 02026
Phone (404) 587-0945
Interoperability endpoints
- ltancredo@landmarkhealth-direct.org
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1316272594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CORDAVILLE RD",
"city": "ASHLAND",
"state": "MA",
"postal_code": "017211031",
"telephone_number": "508-881-9333",
"fax_number": "508-881-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 STATE ST",
"address_2": "SUITE 660",
"city": "BOSTON",
"state": "MA",
"postal_code": "021092202",
"telephone_number": "800-370-3651",
"fax_number": "860-510-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANCREDO",
"first_name": "LUCINEIA",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-06",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN274179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.