MS. MARY-ELLIN MOORE FNP
NPI 1689618720
Nurse Practitioner - Family in Newton, MA

Active since June 16, 2006
83 LITTLEFIELD RD, NEWTON, MA 02459(617) 928-1530(617) 928-1531 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Mary-ellin Moore Fnp NPPES

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

MS. MARY-ELLIN MOORE FNP (NPI 1689618720) is an individual family provider in Newton, Massachusetts, licensed in Massachusetts (160595) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1689618720
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARY-ELLIN MOORECredential: FNP
Location Address83 LITTLEFIELD RDNewton, MA 02459-3010
Mailing Address48 Maverick StDedham, MA 02026-2436 · (781) 326-8193 · Fax (781) 326-8193
Fax(617) 928-1531
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1689618720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · 160595
83 LITTLEFIELD RD, Newton, MA 02459

Other Identifiers 4

OtherNP4210MA · Bc/bs Provider Number
OtherP00043183MA · Rr-federal Blue Cross
Medicaid0327484MA
Medicare ID-Type UnspecifiedNP4210MA · Provider Number

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Adult Health)
83 LITTLEFIELD RD
NEWTON, MA 02459
Nurse Practitioner (Adult Health)
83 LITTLEFIELD RD
NEWTON, MA 02459
Nurse Practitioner (Family)
83 LITTLEFIELD RD
NEWTON, MA 02459
Family Medicine (Geriatric Medicine)
83 LITTLEFIELD RD
NEWTON, MA 02459
Nurse Practitioner
83 LITTLEFIELD RD
NEWTON, MA 02459
Internal Medicine (Geriatric Medicine)
83 LITTLEFIELD RD
NEWTON, MA 02459
Nurse Practitioner
83 LITTLEFIELD RD
NEWTON, MA 02459

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 Mary-ellin Moore's NPI number?

The NPI number for Mary-ellin Moore is 1689618720. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Mary-ellin Moore located?

Mary-ellin Moore practices at 83 Littlefield Rd, Newton, MA 02459. The listed phone number is (617) 928-1530.

What is Mary-ellin Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary-ellin Moore was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.