Mary Maxwell, NURSE PRACTITIONER

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

152290 Issued in MA

Practice address

30 Washington Street
About Women by Women
Wellesley, MA 02481-5568

Phone

(781) 263-0033

Fax

(781) 263-0098

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1376697722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WASHINGTON ST.",
            "address_2": "ABOUT WOMEN BY WOMEN",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815568",
            "telephone_number": "781-263-0033",
            "fax_number": "781-263-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WASHINGTON STREET",
            "address_2": "ABOUT WOMEN BY WOMEN",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815568",
            "telephone_number": "781-263-0033",
            "fax_number": "781-263-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MARY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "152290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Mathison, LMHC
• Laura Grace Matlack, PSY.D.
• Matthew R. Fantasia, D.M.D., P.C.
• David William Matthews, DC
• Bradford Richard Mattison, D.M.D.
• Denise Mayo, M.D.
• Laura Linda McCann, M.D.
• Laura L McCord, MD
• Lindsay McCormack, MD
• Maureen Kelly McCormick, PSY.D

• Obstetrics & Gynecology Nurse Practitioner in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.