Individual provider Active NPI

Vanny McLean, NP

  • Gerontology Nurse Practitioner
  • Boston, MA
National Provider Identifier
1952865735
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN2267891 Issued in MA
Practice address
72 E Concord Street
Robinson 2
Boston, MA 02118
Phone
(617) 638-6100
Fax
(617) 638-6179
NPI assigned
Jan 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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 RN2267891 MA Primary

Addresses

Primary practice location

72 E Concord Street
Robinson 2
Boston, MA 02118

Mailing address

PO Box 709
Westport, MA 02790-0699
Phone (781) 404-7045

Other practice location 1

25 Commercial St
Braintree, MA 02184-4346
Phone (781) 484-7291

Other practice location 2

321 Centre St
Dorchester, MA 02122
Phone (617) 825-6320

Other names 1

  • Vanny Trieu 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
I20190409001292 MA Practitioner - Nurse Practitioner 6305187915 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2267891MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Evans Medical Foundation, Inc. CurrentSince Jan 27, 2020 Accepting new patients

Locations

88 Newton St
#2
Boston, MA 02118
Phone (617) 638-6100

725 Albany St
Ste A
Boston, MA 02118
Phone (617) 414-4861

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

72 E Concord St
Rm 2
Boston, MA 02118
Phone (617) 638-6100

Interoperability endpoints

  • Direct secure messaging: vmclean121301@direct.bmc.masshiway.net

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": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1952865735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 709",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027900699",
            "telephone_number": "781-404-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 E CONCORD STREET",
            "address_2": "ROBINSON 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-6100",
            "fax_number": "617-638-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021844346",
            "country_code": "US",
            "telephone_number": "781-484-7291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 Centre St",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "02122",
            "country_code": "US",
            "telephone_number": "617-825-6320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "VANNY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2267891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANNY",
            "last_name": "TRIEU",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.