Individual provider Active NPI

Caitlyn Elizabeth O'Brien, FNP-BC

  • Family Nurse Practitioner
  • Stoneham, MA
National Provider Identifier
1962100446
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2333093 Issued in MA
Practice address
3 Woodland Rd Ste 217
Stoneham, MA 02180-1711
Phone
(781) 395-2922
Fax
(781) 393-8905
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 RN2333093 MA Primary

Addresses

Primary practice location

3 Woodland Rd Ste 217
Stoneham, MA 02180-1711

Mailing address

2 Brentwood Ave
Wilmington, MA 01887-3461
Phone (781) 835-8784

Other practice location 1

79 Erdman Way Ste 101
Leominster, MA 01453-1805
Phone (978) 537-4805

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
I20230505001705 MA Practitioner - Nurse Practitioner 8224493705 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Physicians PCGroup PAC ID 6103859103, 5 clinicians

Practice addresses (Care Compare)

3 Woodland Rd
Suite 217
Stoneham, MA 02180-1711
Phone (781) 395-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2333093MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Allergy Asthma & Immunology, PC CurrentSince Feb 9, 2023 Accepting new patients
Allergy & Asthma Physicians PC CurrentSince Feb 9, 2023 Accepting new patients
Northeast Allergy Asthma & Immunology, PC CurrentSince Feb 9, 2023 Accepting new patients
Neaai - Wpho LLC Past Accepting new patients
Aap - Wpho LLC Past Accepting new patients

Locations

86 Baker Avenue Ext
Ste 304
Concord, MA 01742
Phone (978) 369-3567

79 Erdman Way
#101
Leominster, MA 01453
Phone (978) 537-4805

79 Erdman Way
Leominster, MA 01453
Phone (508) 334-6206

1400 Centre St
Ste 205
Newton Centre, MA 02459
Phone (617) 558-0077

3 Woodland Rd
Ste 217
Stoneham, MA 02180
Phone (781) 395-2922

616 Boston Post Rd
Sudbury, MA 01776
Phone (978) 443-3111

21 Eastern Ave
Worcester, MA 01605
Phone (508) 334-8419

21 Eastern Ave
Ste 31
Worcester, MA 01605

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFGCAA

Organizations & group practices 5

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1962100446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRENTWOOD AVE",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873461",
            "telephone_number": "781-835-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD STE 217",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801711",
            "telephone_number": "781-395-2922",
            "fax_number": "781-393-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Erdman Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014531805",
            "country_code": "US",
            "telephone_number": "978-537-4805",
            "fax_number": "978-537-2185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CAITLYN",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2333093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.