Individual provider Active NPI

Devin Veronica Macdonlad

  • Pediatric Nurse Practitioner
  • Peabody, MA
National Provider Identifier
1417508946
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN2322349 Issued in MA
Practice address
10 Centennial Dr
Peabody, MA 01960-7938
Phone
(978) 535-1110
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN2322349 MA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2322349 MA

Addresses

Primary practice location

10 Centennial Dr
Peabody, MA 01960-7938

Mailing address

3 Wellesley Rd
Beverly, MA 01915-5607
Phone (617) 294-9259

Other practice location 1

3 Wellesley Rd
Beverly, MA 01915-5607
Phone (781) 277-1911

Other practice location 2

53 Ma-130
Forestdale, MA, MA 02644
Phone (508) 477-5306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229002619 MA Practitioner - Nurse Practitioner 1658721832 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
383214NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eliot Community Human Services CurrentSince Dec 18, 2023 Accepting new patients
Eliot Community Human Services CurrentSince Dec 18, 2023 Accepting new patients

Locations

86 Baker Avenue Ext
Ste 100
Concord, MA 01742
Phone (978) 202-4156

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3552/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dparker38763@direct.chppoc.masshiway.net

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1417508946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WELLESLEY RD",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155607",
            "telephone_number": "617-294-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTENNIAL DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607938",
            "telephone_number": "978-535-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Wellesley Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019155607",
            "country_code": "US",
            "telephone_number": "781-277-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 MA-130",
            "address_purpose": "LOCATION",
            "city": "Forestdale, MA",
            "state": "MA",
            "postal_code": "02644",
            "country_code": "US",
            "telephone_number": "508-477-5306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDONLAD",
        "first_name": "DEVIN",
        "middle_name": "VERONICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2322349",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2322349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.