Individual provider Active NPI

Nalyne Sokun Dom, FNP-BC

  • Family Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1427424845
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2267619 Issued in MA
Practice address
135 Jackson St
Lowell, MA 01852-2103
Phone
(978) 441-1700
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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 RN2267619 MA Primary

Addresses

Primary practice location

135 Jackson St
Lowell, MA 01852-2103

Mailing address

161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700

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
I20151116000446 MA Practitioner - Nurse Practitioner 9931419306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bayon Medical Group, LLCGroup PAC ID 3779846241, 7 clinicians

Practice addresses (Care Compare)

1075 Westford St
204 Lowell Primary Care Center
Lowell, MA 01851-2845
Phone (978) 455-7992

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2267619MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayon Medical Group LLC CurrentSince Dec 21, 2020 Accepting new patients
Bayon Medical Group LLC CurrentSince Apr 16, 2023 Accepting new patients
Bayon Medical Group, LLC Past Accepting new patients

Locations

1075 Westford St
Ste 204
Lowell, MA 01851
Phone (978) 452-2000

280 Union St
Ste 402
Lynn, MA 01901
Phone (781) 780-7755

Interoperability endpoints

  • Direct secure messaging: nalyne.dom.1@17220.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17220/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1427424845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 JACKSON ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522103",
            "telephone_number": "978-937-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 JACKSON ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522103",
            "telephone_number": "978-441-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOM",
        "first_name": "NALYNE",
        "middle_name": "SOKUN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2267619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.