Carol Ann Clancy, RNC MSN ANP

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

181036 Issued in MA

Practice address

720 Harrison Ave FL 7
Boston, MA 02118-2371

Phone

(617) 414-8261

Fax

(617) 638-8406

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Carol Ann Donovan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1649477373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CENTURY DR",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213636",
            "telephone_number": "781-828-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE FL 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182371",
            "telephone_number": "617-414-8261",
            "fax_number": "617-638-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RNC MSN ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "MA",
            "license": "181036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0327565",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "DONOVAN",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "LN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine Ann Clair-Hayes, LICSW, MSW
• Danielle Sara Clair, PA
• Jennifer Clair
• Dinia Clairveaux
• Maia Rieger Claman, FNP-BC
• Corinne Clancy, NP
• Elizabeth A Clancy
• Mary C Clancy, NP
• Meghan Elise Clancy, OT, OTD, OTR
• Sarah Anne Clancy, MED, EDS

• Occupational Health Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Occupational Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.