Individual provider Active NPI

Elizabeth J Donahue-Valeri, NP

  • Adult Health Nurse Practitioner
  • Reading, MA
National Provider Identifier
1669461034
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
245743 Issued in MA
Practice address
30 New Crossing Rd Ste 200
Reading, MA 01867-3271
Phone
(781) 213-5150
Fax
(781) 213-5155
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 245743 MA Primary

Addresses

Primary practice location

30 New Crossing Rd Ste 200
Reading, MA 01867-3271

Mailing address

30 New Crossing Rd Ste 200
Reading, MA 01867-3271
Phone (781) 213-5150

Other identifiers 1

IdentifierTypeStateIssuer
0706418MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000393 MA Practitioner - Nurse Practitioner 7012945702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

30 New Crossing Rd
Reading, MA 01867-3271

425 Revere St
Revere, MA 02151-4543
Phone (781) 665-6606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
245743MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health Medical Associates Inc Adult Health CurrentSince Jul 5, 2005 Accepting new patients
Boston Pain Specialist, PC PastSince Jun 26, 2022 Accepting new patients

Locations

30 New Crossing Rd
Ste 200
Reading, MA 01867
Phone (781) 213-5150

30 New Crossing Rd
Ste 210
Reading, MA 01867
Phone (781) 620-4892

30 New Crossing Rd
Ste 300
Reading, MA 01867
Phone (781) 213-5150

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

1715 Broadway
Saugus, MA 01906
Phone (781) 233-2931

Interoperability endpoints

  • Direct secure messaging: edonahue21492@tuftsmedicine.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1669461034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEW CROSSING RD STE 200",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673271",
            "telephone_number": "781-213-5150",
            "fax_number": "781-213-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEW CROSSING RD STE 200",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673271",
            "telephone_number": "781-213-5150",
            "fax_number": "781-213-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE-VALERI",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "245743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0706418",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

Verify at the official NPI Registry.