Active NPI
Josephine L Shea, FNP
- Family Nurse Practitioner
- Beverly, MA
National Provider Identifier
1962059311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2295025
- Practice address
- 63 Front St
Beverly, MA 01915-5010 - Phone
- (978) 270-5636
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F07190239 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2295025 | MA | Primary |
Addresses
Primary practice location
63 Front St
Beverly, MA 01915-5010
Mailing address
63 Front St
Beverly, MA 01915-5010
Phone (978) 270-5636
Other names 1
- Josephine C Lannon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F07190239 | MA | MD | Family Medicine Physician |
| RN2295025 | MA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1962059311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 FRONT ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155010",
"telephone_number": "978-270-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 FRONT ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155010",
"telephone_number": "978-270-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "JOSEPHINE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "F07190239",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2295025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSEPHINE",
"last_name": "LANNON",
"middle_name": "C",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.