Jennifer Lynne Eysie Femino, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

254783 Issued in MA

Practice address

47 Congress St
Salem, MA 01970-7308

Phone

(978) 825-1130

Fax

(978) 745-9857

NPI assigned

Feb 9, 2007

Last updated

Aug 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynne Eysie Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• North Shore Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Salem, MA
  • NPI 1366582090

  Corporate Director

  CMS ownership
• North Shore Community Health, Inc

  dba Gloucester Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Gloucester, MA
  • NPI 1710233572

  Corporate Director

  CMS ownership

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1548301922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CONGRESS ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707308",
            "telephone_number": "978-825-1130",
            "fax_number": "978-745-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CONGRESS ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707308",
            "telephone_number": "978-825-1130",
            "fax_number": "978-745-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEMINO",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE EYSIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "254783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "EYSIE",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Fazio
• Vanessa Marie Federico
• Lisa M. Fedoce, M.S.
• Melanie Feldsher
• Brian Fellows, NP
• Natalie C. Femino, LMHC
• Charlene Marie Fernandez
• Erika Fernandez
• Dinithi Christma Fernando
• Stephanie Joy Ferraro, RN, PMHNP-BC

• Family Nurse Practitioner in Salem, MA
• Providers in Salem, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.