Active NPI
Thaina C Moravia-Roman, ARNP
- Nurse Practitioner
- Burlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2286524
- Practice address
- 41 Mall Rd
Burlington, MA 01805-8650 - Phone
- (781) 744-8000
- NPI assigned
- Nov 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2286524 | MA | |
| Nurse Practitioner | 363L00000X | AP60623185 | WA | |
| Nurse Practitioner | 363L00000X | RN2286524 | MA | Primary |
Addresses
Primary practice location
41 Mall Rd
Burlington, MA 01805-8650
Mailing address
911 S Washington St
Kennewick, WA 99336-5600
Phone (509) 942-2288
Other practice location 1
911 S Washington St Ste B
Kennewick, WA 99336-5600
Phone (509) 942-2288
Other practice location 2
560 Gage Blvd
Ste 102
Richland, WA 99352-8650
Phone (509) 942-3135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568835486 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmoravia1108750@wm.providencedirect.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lahey Clinic Inc
Practice addresses (Care Compare)
29 Mall Rd
Burlington, MA 01805-0001
41 Mall Rd
Burlington, MA 01805-0001
Hospital & facility affiliations
- Beth Israel Lahey Health at Home
- Lahey Hospital & Medical Center, Burlington
- Kadlec Regional Medical Center
- Northeast Hospital Corporation
- Winchester Hospital
- Beth Israel Deaconess Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2286524 | MA | MD | Nurse Practitioner |
| AP60623185 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Current | Accepting new patients |
Locations
67 S Bedford St
Ste 202E
Burlington, MA 01803
Phone (781) 744-7000
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
Interoperability endpoints
- tmoraviaroman190067@direct.bilh.masshiway.net
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.
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- Home Health Agency
- Woburn, MA
- NPI 1346257474
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1568835486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 S WASHINGTON ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993365600",
"telephone_number": "509-942-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018058650",
"telephone_number": "781-744-8000"
}
],
"practiceLocations": [
{
"address_1": "911 S Washington St Ste B",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993365600",
"country_code": "US",
"telephone_number": "509-942-2288",
"fax_number": "509-585-6116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "560 Gage Blvd",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993528650",
"country_code": "US",
"telephone_number": "509-942-3135",
"fax_number": "509-627-1188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAVIA-ROMAN",
"first_name": "THAINA",
"middle_name": "C",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2286524",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60623185",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2286524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568835486",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmoravia1108750@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "911 S Washington St Ste B",
"city": "Kennewick",
"state": "WA",
"country_code": "US",
"postal_code": "993365600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.