Active NPI
Lynne A. Masterson, CNM
- Midwife
- Worcester, MA
National Provider Identifier
1447592290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- RN265289
- Practice address
- 123 Summer St
Suite 150S
Worcester, MA 01608-1216 - Phone
- (508) 368-3110
- Fax
- (508) 368-3113
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | RN265289 | MA | Primary |
Addresses
Primary practice location
123 Summer St
Suite 150S
Worcester, MA 01608-1216
Mailing address
630 Plantation St
Worcester, MA 01605-2038
Phone (508) 368-3110
Other practice location 1
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000
Other names 1
- Lynne A. Dorman / Fling
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN265289 | MA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Associates | Current | Accepting new patients | |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Interoperability endpoints
- lynne.masterson.npi1447592290.reliant@direct.optumcare.masshiway.net
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1447592290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052038",
"telephone_number": "508-368-3110",
"fax_number": "508-368-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"address_2": "SUITE 150S",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-368-3110",
"fax_number": "508-368-3113"
}
],
"practiceLocations": [
{
"address_1": "55 Fogg Rd",
"address_purpose": "LOCATION",
"city": "Weymouth",
"state": "MA",
"postal_code": "021902432",
"country_code": "US",
"telephone_number": "781-624-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASTERSON",
"first_name": "LYNNE",
"middle_name": "A.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MA",
"license": "RN265289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNNE",
"last_name": "DORMAN / FLING",
"middle_name": "A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.