Active NPI
Lynn Caron Borella, NP
- Family Nurse Practitioner
- Worcester, MA
National Provider Identifier
1801122965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN279138
- Practice address
- 26 Queen St
Family Health Center of Worcester, Inc.
Worcester, MA 01610-2473 - Phone
- (508) 860-7700
- Fax
- (508) 860-7929
- NPI assigned
- Oct 26, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN279138 | MA | Primary |
Addresses
Primary practice location
26 Queen St
Family Health Center of Worcester, Inc.
Worcester, MA 01610-2473
Mailing address
26 Queen St
Worcester, MA 01610-2473
Phone (508) 860-7700
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN279138 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town Center Pediatrics | 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 and National Provider Directory roles.
-
- Pediatrics Physician
- Southborough, MA
- NPI 1992800957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1801122965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 QUEEN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102473",
"telephone_number": "508-860-7700",
"fax_number": "508-860-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 QUEEN ST",
"address_2": "FAMILY HEALTH CENTER OF WORCESTER, INC.",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102473",
"telephone_number": "508-860-7700",
"fax_number": "508-860-7929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORELLA",
"first_name": "LYNN",
"middle_name": "CARON",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-26",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN279138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.