LIZA KIMBALL PECK NP NPI 1659470342

NPI Information

NPI: 1659470342
Provider Name: LIZA KIMBALL PECK, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
761 WORCESTER RD
FRAMINGHAM, MA
ZIP 01701
Phone: (508) 872-1614
Get Directions

Liza Kimball Peck, NP is a women's health nurse practitioner in Framingham, MA with 21 years of experience. Liza Kimball Peck, NP NPI is 1659470342. 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:

761 WORCESTER RD
FRAMINGHAM, MA
ZIP 01701-224
Phone: (508) 872-1614
Fax: (508) 620-6572

The NPI 1659470342 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 9/21/2006 and was last updated on 5/26/2017.

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	363LW0102X	Nurse Practitioner	Women's Health	RN253707	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	S400204037	MEDICARE PIN	MASSACHUSETTS
2	1659470342	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD OF MA
3	110025212A	MEDICAID	MASSACHUSETTS

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: 4/28/2024

NPI Synchronization or Removal

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