Individual provider Active NPI

Fariyda Mulrain, NP

  • Family Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1831644129
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06162456 Issued in MA
Practice address
819 Worcester St
Springfield, MA 01151-1045
Phone
(413) 543-6820
NPI assigned
Aug 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06162456 MA Primary

Addresses

Primary practice location

819 Worcester St
Springfield, MA 01151-1045

Mailing address

77 Fowler St
Dorchester, MA 02121-3714
Phone (617) 306-8903

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
I20161031001748 MA Practitioner - Nurse Practitioner 2466730114 Reassigns benefits to 5 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
Vantage Healthcare LLCGroup PAC ID 8224361191, 72 clinicians

Practice addresses (Care Compare)

45 Dan Rd
Canton, MA 02021-2852
Phone (781) 867-2050

Hospital & facility affiliations

  • Lemuel Shattuck Hospital Long-term care hospital, Jamaica Plain, MA, CCN 222006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06162456MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England PC CurrentSince Oct 10, 2016 Accepting new patients
Ipc Hospitalists of New England, P.C. Family CurrentSince Oct 10, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 15, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 15, 2019 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

277 Washington St
Abington, MA 02351
Phone (781) 871-0200

89 Morton St
Andover, MA 01810
Phone (978) 475-0944

95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609

17 Lafayette Ave
Chelsea, MA 02150
Phone (617) 884-6766

165 Captains Row
Chelsea, MA 02150
Phone (617) 887-0001

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

10 Veterans Memorial Dr
Milford, MA 01757
Phone (508) 473-6414

67 Union St
Natick, MA 01760
Phone (508) 383-1104

204 Proctor Ave
Revere, MA 02151
Phone (781) 286-3100

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

819 Worcester St
Springfield, MA 01151
Phone (413) 304-2501

Organizations & group practices 7

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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1831644129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 FOWLER ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021213714",
            "telephone_number": "617-306-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511045",
            "telephone_number": "413-543-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULRAIN",
        "first_name": "FARIYDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F06162456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.