Individual provider Active NPI

Alysia S O'Brien, FNP

  • Family Nurse Practitioner
  • Woonsocket, RI
National Provider Identifier
1972810752
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN265505 Issued in MA
Practice address
1 CVS Dr
Minuteclinic Credentialing 200HCD
Woonsocket, RI 02895-6146
Phone
(401) 770-1690
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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 RN265505 MA Primary

Addresses

Primary practice location

1 CVS Dr
Minuteclinic Credentialing 200HCD
Woonsocket, RI 02895-6146

Mailing address

67D Main St
Medway, MA 02053-1831
Phone (866) 389-2727

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
I20101201000357 MA Practitioner - Nurse Practitioner 8123214269 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Shriners' Hospital for Children CurrentSince Apr 24, 2020 Accepting new patients
The Shriners' Hospital for Children CurrentSince Apr 24, 2020 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Jul 26, 2023 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Jul 26, 2023 Accepting new patients
The Shriners' Hospital for Children Current Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

51 Blossom St
Boston, MA 02114
Phone (617) 722-3000

575 Mount Auburn St
Ste B102
Cambridge, MA 02138
Phone (617) 240-6713

50 Redfield St
Ste 208
Dorchester, MA 02122

95 Tremont St
Ste 3
Duxbury, MA 02332

1575 N Main St
Fall River, MA 02720
Phone (508) 324-0328

62 Brown St
Ste 501
Haverhill, MA 01830
Phone (978) 521-6555

22 South St
Ste 201
Hopkinton, MA 01748

516 Carew St
Springfield, MA 01104
Phone (413) 787-2000

198 Charlton Rd
Ste 206
Sturbridge, MA 01566
Phone (508) 765-1600

91 Washington St
Unit 202
Taunton, MA 02780
Phone (508) 386-9888

210 Bear Hill Rd
Ste 204
Waltham, MA 02451
Phone (518) 321-4537

1275 Elm St
Ste D
West Springfield, MA 01089
Phone (860) 334-4835

349 Route 28
Ste B
West Yarmouth, MA 02673

506 Groton Rd
Ste B
Westford, MA 01886

1221 Main St
Ste 404
Weymouth, MA 02190

23 Warren Ave
Ste 145
Woburn, MA 01801

416 Belmont St
Ste 202
Worcester, MA 01604

Organizations & group practices 6

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": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1972810752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67D MAIN ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531831",
            "telephone_number": "866-389-2727",
            "fax_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "MINUTECLINIC CREDENTIALING 200HCD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-770-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ALYSIA",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN265505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.