Individual provider Active NPI

Malia Weber-Parker

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlborough, MA
National Provider Identifier
1548725559
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11030507 Issued in FL
Practice address
771 Boston Post Rd E Ste 11
Marlborough, MA 01752-3759
Phone
(508) 593-1774
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11030507 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9959 CT
Family Nurse Practitioner 363LF0000X RN2293316 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2293316 MA

Addresses

Primary practice location

771 Boston Post Rd E Ste 11
Marlborough, MA 01752-3759

Mailing address

75409 Fox Cross Ave
Yulee, FL 32097-0155
Phone (413) 205-7405

Other practice location 1

76020 William Burgess Blvd
Yulee, FL 32097-5489
Phone (413) 205-7405

Other names 1

  • Malia Samuelson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190417001991 MA Practitioner - Nurse Practitioner 7012258122 Reassigns benefits to 2 organizations
I20260317004837 FL Practitioner - Nurse Practitioner 7012258122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

75644 Edwards Rd
Suite 32097
Yulee, FL 32097-0616

76020 William Burgess Blvd
Unit 5
Yulee, FL 32097-5490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11030507FLMDPsychiatric/Mental Health Nurse Practitioner
RN2293316MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Mental Health and Wellness Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Psych Wellness Group, Inc. CurrentSince Jun 17, 2022 Accepting new patients
Allergy and Immunology Associates of New England, LLC CurrentSince Jul 13, 2020 Accepting new patients

Locations

1890 S 14th St
Ste 110
Fernandina Beach, FL 32034
Phone (904) 556-7242

771 Boston Post Rd E
Ste 11
Marlborough, MA 01752
Phone (508) 233-9314

269 Locust St
Ste 108
Northampton, MA 01062
Phone (413) 586-0769

269 Locust St
Ste 201
Northampton, MA 01062
Phone (413) 584-4010

1362 Westfield St
West Springfield, MA 01089
Phone (904) 849-0889

Interoperability endpoints

  • Direct secure messaging: malia.weber-parker.1@26450.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26450/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1548725559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75409 FOX CROSS AVE",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970155",
            "telephone_number": "413-205-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 BOSTON POST RD E STE 11",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523759",
            "telephone_number": "508-593-1774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76020 William Burgess Blvd",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320975489",
            "country_code": "US",
            "telephone_number": "413-205-7405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER-PARKER",
        "first_name": "MALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11030507",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "9959",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2293316",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2293316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALIA",
            "last_name": "SAMUELSON",
            "credential": "RN, FNP, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.