Active NPI
Erin Halley Stockman
- Pediatric Nurse Practitioner
- Boston, MA
National Provider Identifier
1811464837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN2299006
- Practice address
- 300 Longwood Ave Dept of
Boston, MA 02115-5737 - Phone
- (617) 355-6401
- Fax
- (617) 730-0392
- NPI assigned
- Oct 29, 2018
- Last updated
- Oct 29, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN2299006 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave Dept of
Boston, MA 02115-5737
Mailing address
7 Hills Rd
Gloucester, MA 01930-1770
Phone (978) 491-9545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2299006 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Orthopaedic Surgery Foundation, Inc. | Pediatrics | Current | Accepting new patients |
| Childrens Hospital Ophthalmology Foundation Inc | Current | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
Interoperability endpoints
- estockman31824@direct.bostonchildrens.org
Organizations & group practices 2
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.
-
- Pediatric Orthopaedic Surgery Physician
- Boston, MA
- NPI 1548344393
Pediatrics
-
- Ophthalmology Physician
- Boston, MA
- NPI 1770679045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1811464837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HILLS RD",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019301770",
"telephone_number": "978-491-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE DEPT OF",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155737",
"telephone_number": "617-355-6401",
"fax_number": "617-730-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKMAN",
"first_name": "ERIN",
"middle_name": "HALLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-29",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2299006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.