Paula Piccolo, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

123233 Issued in MA

Practice address

575 Mount Auburn St
Cambridge, MA 02138-4656

Phone

(617) 491-5586

Fax

(617) 661-5995

NPI assigned

May 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Charles B. Davis, M.D., Inc.

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1992851612
  NPD (past)
• Mount Auburn Professional Services Inc

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1992750996
  NPD (past)
• Woburn Medical Associates PC

  • Internal Medicine Physician
  • Woburn, MA
  • NPI 1104813476
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1437117330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384656",
            "telephone_number": "617-491-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384656",
            "telephone_number": "617-491-5586",
            "fax_number": "617-661-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCOLO",
        "first_name": "PAULA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "123233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0383180",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence A Phillips, O.D.
• Richard Russell Phillips III, PH.D.
• Kristopher Philogene, M.D.
• Yanjuan Pi
• Anna Lyn Picciano
• Fatma Pickton
• Joanna Piechniczek-Buczek, MD
• Lisa Fitzsimmons Pierce, LICSW, LCSW-R
• Elizabeth Odette Pierre
• Margarette Pierre

• Adult Health Nurse Practitioner in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.