Active NPI
Laurie A Talarico, NP
- Gerontology Nurse Practitioner
- Boston, MA
National Provider Identifier
1366593774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 133344
- Practice address
- 239 Causeway St
2ND Floor
Boston, MA 02114-2130 - Phone
- (617) 973-0872
- NPI assigned
- Jan 13, 2007
- Last updated
- Oct 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 133344 | MA | Primary |
Addresses
Primary practice location
239 Causeway St
2ND Floor
Boston, MA 02114-2130
Mailing address
111 Cedar St
Lexington, MA 02421-6651
Phone (781) 472-8516
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133344 | MA | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1366593774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CEDAR ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024216651",
"telephone_number": "781-472-8516",
"fax_number": "781-472-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 CAUSEWAY ST",
"address_2": "2ND FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142130",
"telephone_number": "617-973-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALARICO",
"first_name": "LAURIE",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "133344",
"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 Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.