Elvira Minasyan

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN2287566 Issued in MA

Practice address

225 Boston St
Lynn, MA 01904-3137

Phone

(781) 595-9581

NPI assigned

Oct 26, 2018

Last updated

Oct 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461
  NPD

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1497222574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FAIRFIELD ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724203",
            "telephone_number": "617-821-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BOSTON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019043137",
            "telephone_number": "781-595-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINASYAN",
        "first_name": "ELVIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2287566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Eileen Miller, LCSW
• Christopher M Miller, MPA, LMHC
• Danielle M. Miller, PHARM.D
• Constance A Mills, NP
• Robin Mills
• Christianna S Minkiewicz, MA
• Maria del Mar Miranda-Vilella
• Diane Misci, B.S.ED.
• Claire Mistretta
• Glenn Eric Mitchell

• Primary Care Nurse Practitioner in Lynn, MA
• Providers in Lynn, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.

Verify at the official NPI Registry.