Individual provider Active NPI

Alissa Maureen English, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Natick, MA
National Provider Identifier
1508565425
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2335890 Issued in MA
Practice address
209 W Central St
Natick, MA 01760-3765
Phone
(781) 384-1327
Fax
(781) 205-1564
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2335890 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2335890 MA Primary

Addresses

Primary practice location

209 W Central St
Natick, MA 01760-3765

Mailing address

209 W Central St
Natick, MA 01760-3765
Phone (781) 384-1327

Other names 1

  • Alissa Maureen O'Donoghue Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610002021 MA Practitioner - Nurse Practitioner 1153863832 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Capital JV, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1508565425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W CENTRAL ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603765",
            "telephone_number": "781-384-1327",
            "fax_number": "781-205-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W CENTRAL ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603765",
            "telephone_number": "781-384-1327",
            "fax_number": "781-205-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLISH",
        "first_name": "ALISSA",
        "middle_name": "MAUREEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2335890",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2335890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "O'DONOGHUE",
            "middle_name": "MAUREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.