Carolyn M Coughlan, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN282087 Issued in MA

Practice address

269 Union St
Lynn, MA 01901-1314

Phone

(781) 581-3900

NPI assigned

Aug 13, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Carolyn Viveiros Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Cardinal Pediatrics PLLC

  • Pediatrics Physician
  • Lowell, MA
  • NPI 1194372151
  NPD (past)
• Londonderry Pediatrics, PA

  • Pediatrics Physician
  • Londonderry, NH
  • NPI 1518990514
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1750638482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BUTTRICK RD BLDG E",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533352",
            "telephone_number": "603-437-1003",
            "fax_number": "603-421-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 UNION ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011314",
            "telephone_number": "781-581-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Buttrick Rd Bldg E",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533352",
            "country_code": "US",
            "telephone_number": "603-437-1003",
            "fax_number": "603-421-0868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHLAN",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN282087",
            "primary": true
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "NH",
            "license": "066702-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "VIVEIROS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Corrigan, LADC 1
• Jennie L Corsino
• Elizabether Gene Costello, BA
• Dorothy Claire Cote, RN
• Kristen Cotter, MD
• Hillary Coughlin
• Cheri Couillard, PTA
• Laura Jean Couillard, RN
• Pamela S Courtney, MA, LMHC
• Bryan Phillip Cousin, DMD

• Pediatric Nurse Practitioner in Lynn, MA
• Providers in Lynn, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.