Coordinated Primary Care

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

M20928 Issued in MA

Legal business name

COORDINATED PRIMARY CARE

Practice address

275 Nichols Rd
Fitchburg, MA 01420

Phone

(978) 343-5048

Fax

(978) 343-5549

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Phyllis Fabello

Title

Director Coordinator Primary Care

Phone

(978) 466-4243

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Oncology Associates Doing business as

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1477535813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-466-4243",
            "fax_number": "978-466-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-343-5048",
            "fax_number": "978-343-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "FABELLO",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "DIRECTOR COORDINATOR PRIMARY CARE",
        "authorized_official_telephone_number": "978-466-4243"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "M20928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "M20928",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "977147C",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oncology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Risa Eden Connors
• Nicole Cook, MSN, PMHNP-BC
• Brenda Lynn Cooper, MSW
• Jeanine Cooper, RN
• Coordinated Primary Care
• Coordinated Primary Care, Inc.
• Coordinated Primary Care, Inc.
• Coordinated Primary Care, Inc.
• Coordinated Primay Care Inc
• Patricia Cordio

• Nurse Practitioner in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.