Active NPI
Linda Marilyn Farrell, CPNP
- Pediatric Nurse Practitioner
- Dedham, MA
National Provider Identifier
1972663334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 189652
- Practice address
- 1 Lyons Street
Dedham Medical Associates
Dedham, MA 02026 - Phone
- (781) 329-1400
- NPI assigned
- Dec 8, 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 Nurse Practitioner | 363LP0200X | 189652 | MA | Primary |
Addresses
Primary practice location
1 Lyons Street
Dedham Medical Associates
Dedham, MA 02026
Mailing address
93 Sunrise Rd
Westwood, MA 02090
Phone (781) 551-9009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2195 | Other | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189652 | MA | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- lfarrellnp205@direct.atrius.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972663334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 SUNRISE RD",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "02090",
"telephone_number": "781-551-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LYONS STREET",
"address_2": "DEDHAM MEDICAL ASSOCIATES",
"city": "DEDHAM",
"state": "MA",
"postal_code": "02026",
"telephone_number": "781-329-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "LINDA",
"middle_name": "MARILYN",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "189652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NP2195",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.