Individual provider Active NPI

Maureen Monagle, RN

  • Registered Nurse
  • Somerville, MA
National Provider Identifier
1356770754
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN172437 Issued in MA
Practice address
50 Evergreen Ave
Somerville, MA 02145-2819
Phone
(617) 625-6600
Fax
(617) 629-3040
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN172437 MA Primary

Addresses

Primary practice location

50 Evergreen Ave
Somerville, MA 02145-2819

Mailing address

50 Evergreen Ave
Somerville, MA 02145-2819
Phone (617) 625-6600

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN172437MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
City of Somerville Past Accepting new patients

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1356770754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 EVERGREEN AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452819",
            "telephone_number": "617-625-6600",
            "fax_number": "617-629-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EVERGREEN AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452819",
            "telephone_number": "617-625-6600",
            "fax_number": "617-629-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAGLE",
        "first_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN172437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.