Individual provider Active NPI

Mary Ann Durkin, NP

  • Pediatrics Physician
  • Chelmsford, MA
National Provider Identifier
1518074228
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
124002 Issued in MA
Practice address
4 Meeting House Rd
Suite 5
Chelmsford, MA 01824-2766
Phone
(978) 250-4081
Fax
(978) 250-3956
NPI assigned
Aug 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 124002 MA Primary

Addresses

Primary practice location

4 Meeting House Rd
Suite 5
Chelmsford, MA 01824-2766

Mailing address

4 Meeting House Rd
Suite 5
Chelmsford, MA 01824-2766
Phone (978) 250-4081

Other identifiers 1

IdentifierTypeStateIssuer
NP9978OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518074228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEETING HOUSE RD",
            "address_2": "SUITE 5",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242766",
            "telephone_number": "978-250-4081",
            "fax_number": "978-250-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEETING HOUSE RD",
            "address_2": "SUITE 5",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242766",
            "telephone_number": "978-250-4081",
            "fax_number": "978-250-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURKIN",
        "first_name": "MARY ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "124002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NP9978",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.