Active NPI
Lynette Matthews, NP
- Gerontology Nurse Practitioner
- Roslindale, MA
National Provider Identifier
1699969824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 229822
- Practice address
- 1200 Centre St
Roslindale, MA 02131-1000 - Phone
- (617) 363-8000
- Fax
- (617) 363-8929
- NPI assigned
- Aug 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 229822 | MA | Primary |
Addresses
Primary practice location
1200 Centre St
Roslindale, MA 02131-1000
Mailing address
1200 Centre St
Roslindale, MA 02131-1000
Phone (617) 363-8614
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229822 | MA | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1699969824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CENTRE ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021311000",
"telephone_number": "617-363-8614",
"fax_number": "617-363-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CENTRE ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021311000",
"telephone_number": "617-363-8000",
"fax_number": "617-363-8929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "LYNETTE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "229822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.