Elizabeth Mary Cressman, BS

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lowell, MA

NPI 1770710246 · NPPES record last updated Jun 11, 2009

Key facts

NPI
1770710246
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
148 Warren St
Lowell, MA 01852-2208
Phone
(978) 452-1736
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Mental Health Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

148 Warren St
Lowell, MA 01852-2208

Mailing address

40 Susan Drive
Tewksbury, MA 01876

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2009.

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1770710246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SUSAN DRIVE",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "01876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WARREN ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522208",
            "telephone_number": "978-452-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESSMAN",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

All providers in Lowell, MA · Student in an Organized Health Care Education/Training Program in Massachusetts

Sources for this page

Verify at the official NPI Registry.