NPIMap

Individual provider Active NPI

Maureen Ann Gaughan, NP

  • Family Nurse Practitioner
  • Kingston, MA
National Provider Identifier
1699762864
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
92659 Issued in MA
Practice address
5 Tarkiln Road
Kingston, MA 02364-1250
Phone
(781) 585-1784
Fax
(781) 585-2200
NPI assigned
Oct 4, 2005
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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 92659 MA Primary

Addresses

Primary practice location

5 Tarkiln Road
Kingston, MA 02364-1250

Mailing address

75 Washington St
Norwell, MA 02061-1795
Phone (781) 878-5200

Other identifiers 2

IdentifierTypeStateIssuer
SS0058OtherMABCBSMA
0391000MedicaidMA

Other names 1

  • Maureen O'Neil Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caritas Medical Group, Inc. Past Accepting new patients
Bridgewater Pediatrics LLC Past Accepting new patients
Carney Medical Group Past Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
Boston Medical Group, PC Past Accepting new patients
Southeast Anesthesia Assoc Past Accepting new patients
Coastal Medical Associates Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1699762864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611795",
            "telephone_number": "781-878-5200",
            "fax_number": "781-878-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TARKILN ROAD",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641250",
            "telephone_number": "781-585-1784",
            "fax_number": "781-585-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGHAN",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "92659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "SS0058",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391000",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "O'NEIL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.