Individual provider Active NPI

Courtney Salomone

  • Adult Health Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1821402108
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN2285054 Issued in MA
Practice address
275 Varnum Ave Ste 203
Lowell, MA 01854-2109
Phone
(978) 458-4300
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN2285054 MA Primary

Addresses

Primary practice location

275 Varnum Ave Ste 203
Lowell, MA 01854-2109

Mailing address

275 Varnum Ave Ste 203
Lowell, MA 01854-2109
Phone (978) 458-4300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917001690 MA Practitioner - Nurse Practitioner 0547489940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Surgical Associates, PCGroup PAC ID 8123263837, 9 clinicians

Practice addresses (Care Compare)

275 Varnum Ave
Suite 203
Lowell, MA 01854-2109
Phone (978) 458-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Surgical Associates, PC CurrentSince Sep 1, 2020 Accepting new patients
Medical Care of Boston Management Corporation CurrentSince Sep 1, 2014 Accepting new patients

Locations

33 Bartlett St
Ste 503
Lowell, MA 01852
Phone (978) 458-4300

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

275 Varnum Ave
Ste 203
Lowell, MA 01854
Phone (978) 458-4300

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

Interoperability endpoints

  • Direct secure messaging: csalomone49230@tuftsmedicine.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1821402108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE STE 203",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542109",
            "telephone_number": "978-458-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE STE 203",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542109",
            "telephone_number": "978-458-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOMONE",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2285054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.