NPIMap

Organization Active NPI

University of Massachusetts Lowell

  • Student Health Clinic/Center
  • Lowell, MA
National Provider Identifier
1639546724
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
UNIVERSITY OF MASSACHUSETTS LOWELL
Practice address
220 Pawtucket St
Suite 300
Lowell, MA 01854-3573
Phone
(978) 934-6800
Fax
(978) 934-3080
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Dr. Diana J Walker-Moyer, DNP, FNP-BC
Title
Director Health Services
Phone
(978) 934-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X MA Primary

Addresses

Primary practice location

220 Pawtucket St
Suite 300
Lowell, MA 01854-3573

Mailing address

220 Pawtucket St
Suite 300
Lowell, MA 01854-3573
Phone (978) 934-6800

Other names 1

  • Wellness Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0970174Health Services, Univ of Massachusetts Lowell220 Pawtucket Street Suite 300, Lowell, MA 01854Provider-performed microscopyFeb 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
C Stanley Raymond146 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

220 Pawtucket St
Ste 300
Lowell, MA 01854
Phone (978) 934-6800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1639546724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PAWTUCKET ST",
            "address_2": "SUITE 300",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543573",
            "telephone_number": "978-934-6800",
            "fax_number": "978-934-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PAWTUCKET ST",
            "address_2": "SUITE 300",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543573",
            "telephone_number": "978-934-6800",
            "fax_number": "978-934-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MASSACHUSETTS LOWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "WALKER-MOYER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR HEALTH SERVICES",
        "authorized_official_telephone_number": "978-934-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.