Carolyn L Fallica, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

143363 Issued in MA

Practice address

41 Montvale Ave
Hallmark Health Hematology & Oncology Center
Stoneham, MA 02180-2445

Phone

(781) 224-5810

Fax

(781) 224-5813

NPI assigned

Nov 4, 2005

Last updated

Apr 5, 2013By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pratt Medical Group IncGroup PAC ID 3375515661, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tufts Medical Center Hospital, Boston, MA, CCN 220116
• Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cfallica21630@tuftsmedicine.direct-ci.com

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.

• Pratt Medical Group, Inc

  dba Pratt Medical Group, Inc-General Medical Associates

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1275570319
  Medicare reassignment Care Compare group NPD
• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467
  Medicare reassignment NPD
• Hallmark Health System Inc

  • Internal Medicine Physician
  • Medford, MA
  • NPI 1275673667
  NPD
• Melrosewakefield Healthcare, Inc.

  • Psychiatric Hospital Unit
  • Medford, MA
  • NPI 1891835351
  NPD
• Pratt Medical Group, Inc

  dba Pratt Medical Group, Inc- Hematology/Oncology

  • Hematology & Oncology Physician
  • Boston, MA
  • NPI 1386964179
  NPD
• Pratt Medical Group, Inc

  dba Pratt Medical Group, Inc - Pulmonary Disease

  • Pulmonary Disease Physician
  • Boston, MA
  • NPI 1508187642
  NPD
• Pratt Medical Group, Inc

  dba Pratt Orthopaedics Associates, Inc

  • Orthopaedic Surgery Physician
  • Boston, MA
  • NPI 1184661225
  NPD (past)

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

• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467
  Care Compare affiliation
• Tufts Medical Center, Inc.

  dba Tufts Medical Center

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Care Compare affiliation

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1447241757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTVALE AVE",
            "address_2": "HALLMARK HEALTH HEMATOLOGY & ONCOLOGY CENTER",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802445",
            "telephone_number": "781-224-5810",
            "fax_number": "781-224-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MONTVALE AVE",
            "address_2": "HALLMARK HEALTH HEMATOLOGY & ONCOLOGY CENTER",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802445",
            "telephone_number": "781-224-5810",
            "fax_number": "781-224-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLICA",
        "first_name": "CAROLYN",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "143363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200992",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adjannie Ishtar F. Estuita, PT
• Eugene a Mickey, DMD, MPH, PC
• Nicole Katherine Eustace, OTR/L
• Erin Stephanie Evans, RN, CNP
• F Khajavi MD Facp Inc
• Family Care Centers PC
• Family Dental Care of Stoneham
• Kimberley P Farina, P.A.-C
• Kara Farrington, MSW
• Katera Lashay Farris

• Adult Health Nurse Practitioner in Stoneham, MA
• Providers in Stoneham, 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 Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.