Luciann Poulopoulos McMullen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN233921 Issued in MA

Practice address

236 Beech St
Roslindale, MA 02131-3311

Phone

(617) 635-8082

NPI assigned

Dec 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1669019972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EDGEBROOK RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321124",
            "telephone_number": "617-327-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BEECH ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313311",
            "telephone_number": "617-635-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "LUCIANN",
        "middle_name": "POULOPOULOS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MA",
            "license": "RN233921",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN233921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathryn McCarthy, MD
• Kelli McDermott, LCSW
• Maura McDonald-Brown, MSW
• Heidi McIndoo, RD
• Kendall McKoon
• Carol Marie McTavish, LPN
• Jenessa McWilliams, LICSW
• Jennifer Medeiros, MSW INTERN
• Sarah Churchill Meeks, LICSW
• Danelsi Mejia

• Family Nurse Practitioner in Roslindale, MA
• Providers in Roslindale, 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 Dec 5, 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.