Individual provider Active NPI

Xiomara Pearson, FNP

  • Family Medicine Physician
  • Cambridge, MA
National Provider Identifier
1417649278
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN2339568 Issued in MA
Practice address
7 Cameron Ave Apt 106
Cambridge, MA 02140-1155
Phone
(617) 233-1347
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN2339568 MA Primary

Addresses

Primary practice location

7 Cameron Ave Apt 106
Cambridge, MA 02140-1155

Mailing address

7 Cameron Ave Apt 106
Cambridge, MA 02140-1155
Phone (617) 233-1347

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
I20230803001084 MA Order and Referring Only - Nurse Practitioner 9436510658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2339568MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Street Neighborhood Health Center Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: xiomara.pearson.1@8526.direct.athenahealth.com

Organizations & group practices 1

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1417649278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CAMERON AVE APT 106",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401155",
            "telephone_number": "617-233-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CAMERON AVE APT 106",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401155",
            "telephone_number": "617-233-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "XIOMARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "RN2339568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.