Individual provider Active NPI

Stephanie Maire Nunes, FNP-BC

  • Family Nurse Practitioner
  • Revere, MA
National Provider Identifier
1952776213
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2292716 Issued in MA
Practice address
385 Broadway Ste 4
Revere, MA 02151-3059
Phone
(781) 485-6000
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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 2292716 MA Primary

Addresses

Primary practice location

385 Broadway Ste 4
Revere, MA 02151-3059

Mailing address

53 Laurel LN
Raynham, MA 02767-1932
Phone (774) 501-8117

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
I20161205000532 MA Practitioner - Nurse Practitioner 1355621517 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2292716MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Oct 2, 2017 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 2, 2017 Accepting new patients
General Hospital Corp Current Accepting new patients
Atrius Health, Inc. CurrentSince Dec 27, 2016 Accepting new patients
Atrius Health, Inc. CurrentSince Dec 27, 2016 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince May 4, 2020 Accepting new patients
The General Hospital Corporation CurrentSince May 4, 2020 Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

370 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 985-2000

385 Broadway
Fl 4
Revere, MA 02151
Phone (781) 485-1000

78 Baker St
Providence, RI 02905
Phone (401) 781-2400

Interoperability endpoints

  • Direct secure messaging: nunes.stephanie.mgh@direct.partners.masshiway.net

Organizations & group practices 7

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": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1952776213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 LAUREL LN",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671932",
            "telephone_number": "774-501-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BROADWAY STE 4",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513059",
            "telephone_number": "781-485-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNES",
        "first_name": "STEPHANIE",
        "middle_name": "MAIRE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2292716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Revere, MA

Sources for this page

Verify at the official NPI Registry.