Individual provider Active NPI

Maryann McQueston, RN CFNP

  • Family Nurse Practitioner
  • Salem, MA
National Provider Identifier
1447361720
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120100 Issued in MA
Practice address
72 Highland Ave
Pediatric Associates of Greater Salem Inc
Salem, MA 01970-2738
Phone
(978) 745-3050
Fax
(978) 744-9594
NPI assigned
Aug 31, 2006
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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 120100 MA Primary

Addresses

Primary practice location

72 Highland Ave
Pediatric Associates of Greater Salem Inc
Salem, MA 01970-2738

Mailing address

72 Highland Ave
Pediatric Associates of Greater Salem Inc
Salem, MA 01970-2738
Phone (978) 745-3050

Other identifiers 1

IdentifierTypeStateIssuer
7001000NP9848OtherBS

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
120100MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Greater Salem, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2804/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1447361720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 HIGHLAND AVE",
            "address_2": "PEDIATRIC ASSOCIATES OF GREATER SALEM INC",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702738",
            "telephone_number": "978-745-3050",
            "fax_number": "978-744-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 HIGHLAND AVE",
            "address_2": "PEDIATRIC ASSOCIATES OF GREATER SALEM INC",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702738",
            "telephone_number": "978-745-3050",
            "fax_number": "978-744-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUESTON",
        "first_name": "MARYANN",
        "credential": "RN CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "120100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "7001000NP9848",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.