Organization Active NPI

Cereal Pete Inc

  • Specialist
  • Lynn, MA
National Provider Identifier
1881594679
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CEREAL PETE INC
Practice address
84 Sheridan St
Lynn, MA 01902-2831
Phone
(857) 334-2568
NPI assigned
Nov 6, 2026
Last updated
Nov 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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

Authorized official

Name
Diana Pierre
Title
Ceo
Phone
(857) 334-2568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

84 Sheridan St
Lynn, MA 01902-2831

Mailing address

84 Sheridan St
Lynn, MA 01902-2831

NPI Registry JSON

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793923200000",
    "number": "1881594679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SHERIDAN ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019022831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SHERIDAN ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019022831",
            "telephone_number": "857-334-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREAL PETE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-334-2568"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.