Active NPI
Maureen Ann O'Kane-Smalley, NP
- Family Nurse Practitioner
- Lowell, MA
National Provider Identifier
1386815546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 193622
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193622 | Other | MA | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 193622 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Medical of Massachusetts, PC | Past | 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 | Past | Accepting new patients |
Interoperability endpoints
- 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.
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- Family Medicine Physician
- Ayer, MA
- NPI 1174513071
-
- Sonography Radiologic Technologist
- Stoughton, MA
- NPI 1659377802
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1336976539
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
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.