Active NPI
Annmarie Indelicato, RN
- Registered Nurse
- Lowell, MA
National Provider Identifier
1881870681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 236351
- Practice address
- 35 John St
Lowell, MA 01852-1101 - Phone
- (978) 275-3879
- Fax
- (978) 275-6480
- NPI assigned
- Jan 11, 2008
- Last updated
- Jan 11, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 236351 | MA | Primary |
Addresses
Primary practice location
35 John St
Lowell, MA 01852-1101
Mailing address
35 John St
Lowell, MA 01852-1101
Phone (978) 275-3879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301420 | Other | MA | MBHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236351 | MA | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Community Human Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Lowell, MA
- NPI 1669728614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1881870681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 JOHN ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521101",
"telephone_number": "978-275-3879",
"fax_number": "978-275-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 JOHN ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521101",
"telephone_number": "978-275-3879",
"fax_number": "978-275-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDELICATO",
"first_name": "ANNMARIE",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-11",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "236351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "1301420",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.