Marilynn Mulheron, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN211041 Issued in MA

Practice address

26 Queen St
Worcester, MA 01610-2473

Phone

(508) 860-7777

Fax

(508) 860-7862

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lynn Sidari Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9026/brand/1/csg/1/fhir/r4
• Direct secure messaging: mmulheron47765@direct.ctc.masshiway.net

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.

• Family Health Center of Worcester, Inc.

  • Federally Qualified Health Center (FQHC)
  • Worcester, MA
  • NPI 1841200664
  Medicare reassignment NPD
• Family Health Center of Worcester, Inc.

  dba FHCW, Inc-Pharmacy

  • Clinic Pharmacy
  • Worcester, MA
  • NPI 1447399225
  NPD
• Avante Medical Center, LLC

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1891924163
  NPD (past)
• Cardiovascular Associates of Mesa PC

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1104815158
  NPD (past)
• Red Mountain Family Medicine

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1720207087
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1366477408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E BELL DE MAR DR # N226",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834198",
            "telephone_number": "413-404-3076",
            "fax_number": "845-237-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102473",
            "telephone_number": "508-860-7777",
            "fax_number": "508-860-7862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 E Bell De Mar Dr # N226",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852834198",
            "country_code": "US",
            "telephone_number": "413-404-3076",
            "fax_number": "845-237-5910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Dayton Ave NE",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980562715",
            "country_code": "US",
            "telephone_number": "425-736-9609",
            "fax_number": "833-631-6941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULHERON",
        "first_name": "MARILYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61173565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN211041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "SIDARI",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judith M Mulage
• Nicole Mulbah
• Terry Ann Muldoon, MD
• Tanairy Mulero
• Jenna Cornwall Mulhearn, MD
• Zoe Melissa Mulholland, MD
• Farah Mullah, D.O.
• Christine A. Mullaney, P.A.
• Jenna Patricia Mullarkey, PSYD
• Alan C. Mullen, MD, PHD

• Family Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.