Individual provider Active NPI

Marjorie Cummings Arvedon, FNP

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1376529842
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
150276 Issued in MA
Practice address
One Boston Medical Center Place
Boston Medical Center, Yawkey Acc-4, Med-Surg Specialt
Boston, MA 02118-2999
Phone
(617) 414-2274
Fax
(617) 414-2285
NPI assigned
Dec 16, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 150276 MA Primary

Addresses

Primary practice location

One Boston Medical Center Place
Boston Medical Center, Yawkey Acc-4, Med-Surg Specialt
Boston, MA 02118-2999

Mailing address

81 Fairway LN
Foxborough, MA 02035-2737
Phone (617) 414-2274

Other names 1

  • Ms. Marjorie Cummings Arvedon Professional name

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

LicenseStateTypeSpecialty
150276MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Psychiatric Planners, Inc PastSince Dec 1, 2014 Accepting new patients
Bournewood Clinical Associates PastSince Jun 12, 1997 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376529842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 FAIRWAY LN",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020352737",
            "telephone_number": "617-414-2274",
            "fax_number": "617-414-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BOSTON MEDICAL CENTER PLACE",
            "address_2": "BOSTON MEDICAL CENTER, YAWKEY ACC-4, MED-SURG SPECIALT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182999",
            "telephone_number": "617-414-2274",
            "fax_number": "617-414-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVEDON",
        "first_name": "MARJORIE",
        "middle_name": "CUMMINGS",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "150276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "ARVEDON",
            "middle_name": "CUMMINGS",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 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.

Verify at the official NPI Registry.