Active NPI
Maureen P Carr, RN CPNP
- Pediatric Clinical Nurse Specialist
- Peabody, MA
National Provider Identifier
1962461434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Clinical Nurse Specialist
- License
- 115716
- Practice address
- 10 Centennial Dr
Peabody, MA 01960 - Phone
- (978) 535-1110
- Fax
- (978) 535-2907
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Clinical Nurse Specialist | 364SP0200X | 115716 | MA | Primary |
Addresses
Primary practice location
10 Centennial Dr
Peabody, MA 01960
Mailing address
10 Centennial Dr
Peabody, MA 01970
Phone (978) 535-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2062852 | Medicaid | MA |
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115716 | MA | MD | Pediatric Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1962461434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CENTENNIAL DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-535-1110",
"fax_number": "978-535-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTENNIAL DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "978-535-1110",
"fax_number": "978-535-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "MAUREEN",
"middle_name": "P",
"credential": "RN CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "MA",
"license": "115716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2062852",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.