Individual provider Active NPI

Tania Y Maria, NP

  • Family Nurse Practitioner
  • Lawrence, MA
National Provider Identifier
1922432111
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2277955 Issued in MA
Practice address
150 Park St
Lawrence, MA 01841-2517
Phone
(978) 685-1770
Fax
(978) 682-5787
NPI assigned
Aug 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2277955 MA Primary

Addresses

Primary practice location

150 Park St
Lawrence, MA 01841-2517

Mailing address

150 Park St
Lawrence, MA 01841-2517
Phone (978) 685-1770

Other practice location 1

89 Foster St
Peabody, MA 01960-8925
Phone (978) 532-4903

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
I20170206000212 MA Practitioner - Nurse Practitioner 6608159280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Lawrence Family Health Center IncGroup PAC ID 0446221956, 118 clinicians

Practice addresses (Care Compare)

34 Haverhill St
Lawrence, MA 01841-2884
Phone (978) 686-0090

70 -71 N Parish Rd
Lawrence, MA 01843-2914
Phone (978) 722-8391

73 D Winthrop Ave
Plaza 114
Lawrence, MA 01843-3716
Phone (978) 686-3017

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2277955MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lawrence Family Health Center, Inc. CurrentSince Sep 18, 2017 Accepting new patients
Greater Lawrence Family Health Center Inc CurrentSince Sep 18, 2017 Accepting new patients

Locations

150 Park St
Lawrence, MA 01841
Phone (978) 685-1770

34 Haverhill St
Lawrence, MA 01841

70-71 N Parish Rd
Lawrence, MA 01843
Phone (978) 722-8391

Interoperability endpoints

  • Direct secure messaging: tania.maria.1@23857.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922432111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PARK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412517",
            "telephone_number": "978-685-1770",
            "fax_number": "978-682-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PARK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412517",
            "telephone_number": "978-685-1770",
            "fax_number": "978-682-5787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Foster St",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019608925",
            "country_code": "US",
            "telephone_number": "978-532-4903",
            "fax_number": "978-532-4995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIA",
        "first_name": "TANIA",
        "middle_name": "Y",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2277955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.