Active NPI
Mary E. Finn, OTR
- Community Health Worker
- Medford, MA
National Provider Identifier
1891024204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 2349
- Practice address
- 17 Wolcott St
Medford, MA 02155-3726 - Phone
- (781) 391-2353
- NPI assigned
- Dec 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 2349 | MA | Primary |
Addresses
Primary practice location
17 Wolcott St
Medford, MA 02155-3726
Mailing address
17 Wolcott St
Medford, MA 02155-3726
Phone (781) 391-2353
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2349 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1891024204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WOLCOTT ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553726",
"telephone_number": "781-391-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WOLCOTT ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553726",
"telephone_number": "781-391-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINN",
"first_name": "MARY",
"middle_name": "E.",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-14",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MA",
"license": "2349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.