Individual provider Active NPI

Maureen Ann O'Kane-Smalley, NP

  • Family Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1386815546
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
193622 Issued in MA
Practice address
275 Varnum Ave
Ste 201
Lowell, MA 01854
Phone
(978) 452-9700
Fax
(978) 441-6075
NPI assigned
Mar 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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 193622 MA Primary

Addresses

Primary practice location

275 Varnum Ave
Ste 201
Lowell, MA 01854

Mailing address

275 Varnum Ave
Ste 201
Lowell, MA 01854
Phone (978) 452-9700

Other identifiers 1

IdentifierTypeStateIssuer
193622OtherMALICENSE

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
193622MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC PastSince Oct 30, 2024 Accepting new patients
Nashoba Valley Healthcare Group Inc Past Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Premier Diagnostic Services, Inc PastSince Sep 8, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/958/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1386815546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE",
            "address_2": "STE 201",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-452-9700",
            "fax_number": "978-441-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE",
            "address_2": "STE 201",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-452-9700",
            "fax_number": "978-441-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KANE-SMALLEY",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "193622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "193622",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.