Active NPI
Eugenia Patricia Liacopulos, NP
- Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 182006
- Practice address
- 243 Charles St
Mass Eye and Ear Infirmary Medical Unit
Boston, MA 02114-3002 - Phone
- (617) 573-3720
- Fax
- (617) 523-0151
- NPI assigned
- Mar 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 182006 | MA | Primary |
Addresses
Primary practice location
243 Charles St
Mass Eye and Ear Infirmary Medical Unit
Boston, MA 02114-3002
Mailing address
Mass Eye and Ear Infirmary Medical Unit
243 Charles Street
Boston, MA 02114
Phone (617) 573-3720
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182006 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
Interoperability endpoints
- liacopulos.eugenia.bwh@direct.partners.masshiway.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Holy Trinity Nursing & Rehab | Skilled nursing facility | Managing Control - Governing Body Trustee of the SNF Indirect Ownership Interest |
Oct 1, 2021 Oct 1, 2021 Oct 1, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Holy Trinity Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Worcester, MA
- NPI 1497740773
Indirect Ownership Interest, Managing Control - Governing Body, Trustee of the SNF
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
dba Dana-Farber Cancer Institute
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Ambulance
- Boston, MA
- NPI 1518600501
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
dba The Friends' Place
- Durable Medical Equipment & Medical Supplies
- Chestnut Hill, MA
- NPI 1497429237
-
dba Emergency Medicine - HMFP at BIDMC
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659409928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MASS EYE AND EAR INFIRMARY MEDICAL UNIT",
"address_2": "243 CHARLES STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-573-3720",
"fax_number": "617-523-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 CHARLES ST",
"address_2": "MASS EYE AND EAR INFIRMARY MEDICAL UNIT",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143002",
"telephone_number": "617-573-3720",
"fax_number": "617-523-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIACOPULOS",
"first_name": "EUGENIA",
"middle_name": "PATRICIA",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "182006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.