Active NPI
Maureen L Waitt, CPNP, RN
- Pediatric Nurse Practitioner
- Waltham, MA
National Provider Identifier
1649419573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN263098
- Practice address
- 40 2ND Ave
Suite 170
Waltham, MA 02451-1132 - Phone
- (781) 890-3610
- Fax
- (781) 890-3612
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN263098 | MA | Primary |
Addresses
Primary practice location
40 2ND Ave
Suite 170
Waltham, MA 02451-1132
Mailing address
40 Second Ave
Suite 170
Waltham, MA 02451-1132
Phone (781) 890-3610
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)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN263098 | MA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1649419573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SECOND AVE",
"address_2": "SUITE 170",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511132",
"telephone_number": "781-890-3610",
"fax_number": "781-890-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 2ND AVE",
"address_2": "SUITE 170",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511132",
"telephone_number": "781-890-3610",
"fax_number": "781-890-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITT",
"first_name": "MAUREEN",
"middle_name": "L",
"credential": "CPNP, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN263098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.