Active NPI
Catherine A.E. Rea-Lyon, M.D.
- Student in an Organized Health Care Education/Training Program
- Wellesley, MA
National Provider Identifier
1750572269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 227974
- Practice address
- 173 Worcester Street
Wellesley, MA 02481 - Phone
- (781) 235-7900
- Fax
- (781) 237-9930
- NPI assigned
- Aug 8, 2007
- Last updated
- Aug 1, 2012
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 227974 | MA | Primary |
Addresses
Primary practice location
173 Worcester Street
Wellesley, MA 02481
Mailing address
173 Worcester Street
Wellesley, MA 02481
Phone (781) 235-7900
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227974 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1750572269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 WORCESTER STREET",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "02481",
"telephone_number": "781-235-7900",
"fax_number": "781-237-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 WORCESTER STREET",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "02481",
"telephone_number": "781-235-7900",
"fax_number": "781-237-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REA-LYON",
"first_name": "CATHERINE",
"middle_name": "A.E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "227974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.