Ann Mary Descoteaux, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

119233 Issued in MA

Practice address

77 E Merrimack St
Suite 15
Lowell, MA 01852-1251

Phone

(978) 459-3341

Fax

(978) 459-5344

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Mill City Medical Group LTD

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1053346692
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1629291083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 STAFFORD RD",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521511",
            "telephone_number": "978-459-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E MERRIMACK ST",
            "address_2": "SUITE 15",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521251",
            "telephone_number": "978-459-3341",
            "fax_number": "978-459-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCOTEAUX",
        "first_name": "ANN",
        "middle_name": "MARY",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "119233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NP9834",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0384780",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "80842",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deepthi Desai, MD
• Sweta A. Desai, MD
• Vidhi K Desai, FNP-BC
• Vanessa Desani
• Kelly Anne Desantis
• Russell John Deshaies, OTR
• Carolynn Deshler, HBCE
• Olivia Desilets
• Desjardins Management Inc. (Community Dentists)
• Kelly Anne Desjardins, B.A.

• Family Nurse Practitioner in Lowell, MA
• Providers in Lowell, 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 Sep 27, 2011; 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.