Jean-Ellen Marie Metivier, M.A.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

269 Union St
Lynn, MA 01901-1314

Phone

(781) 581-3900

NPI assigned

Nov 1, 2012

Last updated

Nov 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jean-Ellen Marie O'Neil Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1912251794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 NORTH AVE",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058191663",
            "telephone_number": "802-751-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 UNION ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011314",
            "telephone_number": "781-581-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METIVIER",
        "first_name": "JEAN-ELLEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN-ELLEN",
            "last_name": "O'NEIL",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "M.A., M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Clive Merritt, OD
• Gloria Ann Mersha, NP
• Daniel Felipe Mesa Tyree
• Andrew George Mesrobian
• Andrea Lynne Messina, OTR/L
• Beatrice Issaya Mgaragu
• Michael Xinyu Miao, PTA
• Jeanne Ann Micale, RN
• Kimberly Michael, RN
• Benjamin Miele, M.ED, MSW, LICSW

• Student in an Organized Health Care Education/Training Program in Lynn, MA
• Providers in Lynn, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.