Individual provider Active NPI

Thomas Psyris

  • Family Nurse Practitioner
  • Northborough, MA
National Provider Identifier
1548716749
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2266793 Issued in MA
Practice address
10002 Shops Way
Northborough, MA 01532
Phone
(508) 919-8190
Fax
(508) 919-8191
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 0024173802 VA
Family Nurse Practitioner 363LF0000X RN2266793 MA Primary

Addresses

Primary practice location

10002 Shops Way
Northborough, MA 01532

Mailing address

15 Country LN
Palmer, MA 01069-2187
Phone (571) 449-1273

Other practice location 1

4510 Plank Rd
ste 200
Fredericksburg, VA 22407-0138
Phone (540) 785-9900

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary and Urgent Care LLC PastSince Aug 15, 2016 Accepting new patients
Nuch of Massachusetts, LLC PastSince May 31, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tpsyris@primaryandurgentcare.directbygreenway.com
  • FHIR API: https://api.platform.athenahealth.com/18689/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1548716749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COUNTRY LN",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010692187",
            "telephone_number": "571-449-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10002 SHOPS WAY",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "01532",
            "telephone_number": "508-919-8190",
            "fax_number": "508-919-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 Plank Rd",
            "address_2": "ste 200",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224070138",
            "country_code": "US",
            "telephone_number": "540-785-9900",
            "fax_number": "540-785-9960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PSYRIS",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "VA",
            "license": "0024173802",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2266793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.