Active NPI
Debora Demelo
- Registered Nurse
- Lawrence, MA
National Provider Identifier
1720665235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2327689
- Practice address
- 34 Haverhill St
Lawrence, MA 01841-2884 - Phone
- (978) 686-0090
- NPI assigned
- Mar 29, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2327689 | MA | Primary |
Addresses
Primary practice location
34 Haverhill St
Lawrence, MA 01841-2884
Mailing address
201 Lawrence St Apt 1
Lowell, MA 01852-2658
Phone (978) 771-5120
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2327689 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1720665235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LAWRENCE ST APT 1",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522658",
"telephone_number": "978-771-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 HAVERHILL ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018412884",
"telephone_number": "978-686-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMELO",
"first_name": "DEBORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "2327689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.