Individual provider Active NPI

Anna Taller, NP

  • Gerontology Nurse Practitioner
  • Framingham, MA
National Provider Identifier
1922407758
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN2277194 Issued in MA
Practice address
336 Union Ave
Framingham, MA 01702-6355
Phone
(508) 872-2002
Fax
(508) 872-2922
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN2277194 MA Primary

Addresses

Primary practice location

336 Union Ave
Framingham, MA 01702-6355

Mailing address

600 Worcester Rd Ste 303
Framingham, MA 01702-5316
Phone (508) 848-2227

Other names 1

  • Anya Taller Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916001024 MA Practitioner - Nurse Practitioner 3577782085 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leominster Medical Associates CurrentSince May 6, 2019 Accepting new patients

Locations

50 Memorial Dr
Ste 205
Leominster, MA 01453
Phone (978) 534-0310

100 Hospital Rd
Ste 2A
Leominster, MA 01453
Phone (978) 466-2692

Interoperability endpoints

  • Direct secure messaging: anna.taller@tlma.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDFBCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1922407758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WORCESTER RD STE 303",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025316",
            "telephone_number": "508-848-2227",
            "fax_number": "508-319-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 UNION AVE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026355",
            "telephone_number": "508-872-2002",
            "fax_number": "508-872-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLER",
        "first_name": "ANNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2277194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANYA",
            "last_name": "TALLER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.