Maureen Johnston, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN234321 Issued in MA

Practice address

25 Carleton St
E23
Cambridge, MA 02142-1323

Phone

(617) 253-7625

Fax

(617) 253-6373

NPI assigned

Nov 7, 2013

Last updated

Nov 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massachusetts Institute of TechnologyGroup PAC ID 5597658666, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Massachusetts Institute of Technology

  dba MIT Health

  • Multi-Specialty Clinic/Center
  • Cambridge, MA
  • NPI 1346308723
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1699104828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CARLETON ST",
            "address_2": "E23",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421323",
            "telephone_number": "617-253-7625",
            "fax_number": "617-253-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CARLETON ST",
            "address_2": "E23",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421323",
            "telephone_number": "617-253-7625",
            "fax_number": "617-253-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MAUREEN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN234321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Taylor Johnson, LMHC
• Nia Noelle Johnson, MSC
• Sarah Johnson, M.D.
• Sarah Emily Johnson, LIC. AC., DIPL. O.M.
• Jennifer Marie Johnston, LMHC, PHD
• Shadi Johnston, LMHC
• Henry Johnstone
• Mary Parker Johnstone
• Joint Ventures Physical Therapy, Inc. (HighBar)
• Ruth S. Jolicoeur, BSN

• Primary Care Nurse Practitioner in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.