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SHELLY ANN ELA PUCKERIN
NPI 1558038448
Licensed Practical Nurse in Lowell, MA

Active since August 27, 2021
22 OLD CANAL DR, LOWELL, MA 01851(978) 452-5155(978) 937-8177 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelly Ann Ela Puckerin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY ANN ELA PUCKERIN (NPI 1558038448) is an individual licensed practical nurse in Lowell, Massachusetts, licensed in Massachusetts (LN98185) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1558038448
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHELLY ANN ELA PUCKERIN
Location Address22 OLD CANAL DRLowell, MA 01851-2730
Mailing Address22 Old Canal DrLowell, MA 01851-2730 · (978) 452-5155 · Fax (978) 937-8177
Phone(978) 452-5155
Fax(978) 937-8177
Sole ProprietorYes
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1558038448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MA · LN98185
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
22 OLD CANAL DR, Lowell, MA 01851
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARMONY CHAGNON LPN
Licensed Practical Nurse
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 452-5155
KYLE MATTHEW CORREA MSW
Social Worker (Clinical)
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
ALYSSA KAYLA OTERO
Student in an Organized Health Care Education/Training Program
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
SOPHIA L KIM
Counselor
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 452-1736
LEAH MARIE FOSSETT
Behavior Technician
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
JAZMIN SIM KEROACK
Counselor
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 204-0841
KASSY RIVERA
Counselor (Mental Health)
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
BRIDGID PORKOLA PT, DPT
Physical Therapist
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Puckerin's NPI number?

The NPI number for Shelly Puckerin is 1558038448. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Shelly Puckerin located?

Shelly Puckerin practices at 22 Old Canal Dr, Lowell, MA 01851. The listed phone number is (978) 452-5155.

What is Shelly Puckerin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

What insurance does Shelly Puckerin accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Shelly Puckerin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelly Puckerin was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.