Individual provider Active NPI

Alison R Vivian, BC-FNP

  • Family Nurse Practitioner
  • Westborough, MA
National Provider Identifier
1437675956
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2306110 Issued in MA
Practice address
57 E Main St
Westborough, MA 01581-1464
Phone
(508) 870-1800
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 RN2306110 MA Primary

Addresses

Primary practice location

57 E Main St
Westborough, MA 01581-1464

Mailing address

57 E Main St Ste 209
Westborough, MA 01581-1445
Phone (508) 870-1800

Other practice location 1

20 Parmenter St Apt 200
Boston, MA 02113-2356
Phone (860) 490-1472

Other practice location 2

20 Parmenter St Apt 200
Boston, MA 02113-2356
Phone (860) 490-1472

Other identifiers 1

IdentifierTypeStateIssuer
RN2306110MedicaidMA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN2306110MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regal Medical Group PastSince Aug 1, 2012 Accepting new patients

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437675956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 E MAIN ST STE 209",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811445",
            "telephone_number": "508-870-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E MAIN ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811464",
            "telephone_number": "508-870-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Parmenter St Apt 200",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021132356",
            "country_code": "US",
            "telephone_number": "860-490-1472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Parmenter St Apt 200",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021132356",
            "country_code": "US",
            "telephone_number": "860-490-1472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVIAN",
        "first_name": "ALISON",
        "middle_name": "R",
        "credential": "BC-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2306110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN2306110",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.