ALEXIS CUSHMAN NP NPI 1376218412

NPI Information

NPI: 1376218412
Provider Name: ALEXIS CUSHMAN, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
725 ALBANY ST, SUITE 7B
SHAPIRO BLDG
BOSTON, MA
ZIP 02118
Phone: (617) 638-8456
Get Directions

Alexis Cushman, NP is a gerontology nurse practitioner in Boston, MA. Alexis Cushman, NP NPI is 1376218412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 ALBANY ST, SUITE 7B
SHAPIRO BLDG
BOSTON, MA
ZIP 02118
Phone: (617) 638-8456
Fax: (617) 638-8465

The NPI 1376218412 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2021 and was last updated on 6/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN2337543	MASSACHUSETTS	No
2	363L00000X	Nurse Practitioner		RN2337543	MASSACHUSETTS	No
3	363LG0600X	Nurse Practitioner	Gerontology	RN2337543	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110180751A	MEDICAID	MASSACHUSETTS
2	3138558	MEDICAID	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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