Individual provider Active NPI

Colleen Maloney-Hesser, NP

  • Family Nurse Practitioner
  • Waltham, MA
National Provider Identifier
1881652741
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
142278 Issued in MA
Practice address
20 Hope Ave
Suite G10
Waltham, MA 02453-2721
Phone
(781) 647-6920
Fax
(781) 891-0056
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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 142278 MA Primary

Addresses

Primary practice location

20 Hope Ave
Suite G10
Waltham, MA 02453-2721

Mailing address

20 Hope Ave
Suite G10
Waltham, MA 02453-2721
Phone (781) 647-6920

Other identifiers 1

IdentifierTypeStateIssuer
0390101MedicaidMA

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
I20040712000605 MA Practitioner - Nurse Practitioner 5991783334 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142278MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Auburn Professional Services Inc CurrentSince Jun 15, 2004 Accepting new patients
Mt Auburn Professional Services CurrentSince Jun 15, 2004 Accepting new patients

Locations

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

20 Hope Ave
Ste G10
Waltham, MA 02453
Phone (781) 237-5585

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1881652741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE G10",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532721",
            "telephone_number": "781-647-6920",
            "fax_number": "781-891-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE G10",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532721",
            "telephone_number": "781-647-6920",
            "fax_number": "781-891-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY-HESSER",
        "first_name": "COLLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "142278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390101",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.