Martha Louise Favre

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

164930 Issued in MA

Practice address

160 Pearl St
Fitchburg State College Student Health Services
Fitchburg, MA 01420-2697

Phone

(978) 665-3344

NPI assigned

Apr 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fitchburg State College- Health Services

  • Health Service Clinic/Center
  • Fitchburg, MA
  • NPI 1396906848
  NPD (past) Authorized official

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1922323724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PEARL ST",
            "address_2": "FITCHBURG STATE COLLEGE STUDENT HEALTH SERVICES",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202697",
            "telephone_number": "978-665-3344",
            "fax_number": "978-665-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PEARL ST",
            "address_2": "FITCHBURG STATE COLLEGE STUDENT HEALTH SERVICES",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202697",
            "telephone_number": "978-665-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVRE",
        "first_name": "MARTHA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "164930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Falldorf, DPT
• Felicitas Fandreyer, FNP
• Aaron Farb, RN
• Shahida Fareed
• Veera Farhan
• Alicia Favreau
• Kristin Favreau, B.S.
• Aaron M Fay, M.D.
• Olivia Fenty
• Wendy P Fenty, BA PHYCHOLOGY

• Family Nurse Practitioner in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.