Active NPI
Patricia M. McCarthy, N.P.
- Nurse Practitioner
- Chestnut Hill, MA
National Provider Identifier
1366461774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 142147
- Practice address
- 830 Boylston St
Suite 211
Chestnut Hill, MA 02467-2503 - Phone
- (617) 734-4936
- Fax
- (617) 734-7804
- NPI assigned
- Jul 18, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 142147 | MA | Primary |
Addresses
Primary practice location
830 Boylston St
Suite 211
Chestnut Hill, MA 02467-2503
Mailing address
830 Boylston St
Suite 211
Chestnut Hill, MA 02467-2503
Phone (617) 734-4936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP1155 | Other | MA | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142147 | MA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366461774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 BOYLSTON ST",
"address_2": "SUITE 211",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024672503",
"telephone_number": "617-734-4936",
"fax_number": "617-734-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 BOYLSTON ST",
"address_2": "SUITE 211",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024672503",
"telephone_number": "617-734-4936",
"fax_number": "617-734-7804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "PATRICIA",
"middle_name": "M.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "142147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NP1155",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.