Justine McMahon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN94416 Issued in MA

Practice address

165 Quincy St
Brockton, MA 02302-2988

Phone

(508) 597-2092

NPI assigned

Aug 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1699292839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HOLLY RD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020813614",
            "telephone_number": "508-380-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022988",
            "telephone_number": "508-597-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "JUSTINE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN94416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS OF PUBLIC HEALTH-BOARD OF REGISTRATION IN NURSING",
            "identifier": "LN94416",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas McLaughlin, PA
• Kimberly McLeod, M.ED
• John P. McLoughlin, D.P.M.
• Bonnie Marie McMahan
• Emily McMahon, DS
• Elizabeth Marie McMullen, M.ED., LMHC
• Carlene McNair
• Melissa McNeil-Pleasant, LMHC
• Shannon McNeill, PH.D.
• Mackenzie McNulty

• Licensed Practical Nurse in Brockton, MA
• Providers in Brockton, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.