Individual provider Active NPI

Lilian Ojutalayo, NP

  • Family Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1679017107
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2277450 Issued in MA
Practice address
242 Sutton St
North Andover, MA 01845-1631
Phone
(978) 655-1987
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2277450 MA Primary

Addresses

Primary practice location

242 Sutton St
North Andover, MA 01845-1631

Mailing address

242 Sutton St
North Andover, MA 01845-1631

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
I20170918002327 MA Practitioner - Nurse Practitioner 4284950528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Primary Care IncGroup PAC ID 4183889280, 2 clinicians

Practice addresses (Care Compare)

242 Sutton St
North Andover, MA 01845-1631
Phone (978) 655-1987

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2277450MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Primary Care Inc CurrentSince Dec 18, 2014 Accepting new patients

Locations

242 Sutton St
North Andover, MA 01845
Phone (978) 655-1987

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1679017107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 SUTTON ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 SUTTON ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451631",
            "telephone_number": "978-655-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJUTALAYO",
        "first_name": "LILIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2277450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.