Maureen C. Dodakian, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

162092 Issued in MA

Practice address

9 Joseph Rd
Shrewsbury, MA 01545-7715

Phone

(508) 523-0914

NPI assigned

Oct 16, 2007

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Umass Memorial Medical Group Inc

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1760445373

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1508055534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JOSEPH RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015457715",
            "telephone_number": "508-523-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 JOSEPH RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015457715",
            "telephone_number": "508-523-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODAKIAN",
        "first_name": "MAUREEN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "162092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Dennis, D.D.S.
• Department of Developmental Services
• Alla Devitskaya, OD
• Danielle Deyorio
• Rosemary Ann Dipierro
• Leonard Anthony Doerfler, PH.D.
• Frank J Domino, M.D.
• Lindsey Kelly Donahue, ATC/L
• Michael J. Donahue, ED.D.
• Jon M Dooley, MSPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.