Individual provider Active NPI

Marlynne Lievore, NP-C

  • Family Nurse Practitioner
  • Winchester, MA
National Provider Identifier
1699472159
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2303706 Issued in MA
Practice address
955 Main St Ste G6
Winchester, MA 01890-1992
Phone
(781) 729-4878
Fax
(781) 729-5989
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 RN2303706 MA Primary

Addresses

Primary practice location

955 Main St Ste G6
Winchester, MA 01890-1992

Mailing address

955 Main St Ste G6
Winchester, MA 01890-1992
Phone (781) 729-4878

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
I20230427000409 MA Practitioner - Nurse Practitioner 6406211440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert J Obrien Jr MD and Assoc PCGroup PAC ID 1557250586, 19 clinicians

Practice addresses (Care Compare)

955 Main St
Suite G6
Winchester, MA 01890-1992
Phone (781) 729-4878

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Obrien Jr MD & Assoc PC CurrentSince Apr 1, 2023 Accepting new patients

Locations

833 Main St
Melrose, MA 02176
Phone (617) 665-3500

955 Main St
Ste G6
Winchester, MA 01890
Phone (781) 729-3680

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.

Hospital & facility affiliations 1

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1699472159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE G6",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901992",
            "telephone_number": "781-729-4878",
            "fax_number": "781-729-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE G6",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901992",
            "telephone_number": "781-729-4878",
            "fax_number": "781-729-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEVORE",
        "first_name": "MARLYNNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2303706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.