Active NPI
Phyllis J Inman, NP
- Gerontology Nurse Practitioner
- Cambridge, MA
National Provider Identifier
1922081801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 165171
- Practice address
- Youville Hospital
1575 Cambridge Street
Cambridge, MA 02138-4398 - Phone
- (617) 876-4344
- Fax
- (617) 234-7981
- NPI assigned
- Nov 23, 2005
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 165171 | MA | Primary |
Addresses
Primary practice location
Youville Hospital
1575 Cambridge Street
Cambridge, MA 02138-4398
Mailing address
22 Clifton St
Malden, MA 02148-2620
Phone (781) 322-7041
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preventive Medicine Associates | Past | Accepting new patients | |
| Brighton Family Practice, Inc | Past | Accepting new patients |
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.
-
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- Brighton, MA
- NPI 1801804315
-
- Addiction Medicine (Family Medicine) Physician
- Brookline, MA
- NPI 1962451591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922081801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CLIFTON ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021482620",
"telephone_number": "781-322-7041",
"fax_number": "617-234-7981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "YOUVILLE HOSPITAL",
"address_2": "1575 CAMBRIDGE STREET",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384398",
"telephone_number": "617-876-4344",
"fax_number": "617-234-7981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INMAN",
"first_name": "PHYLLIS",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "165171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.