TRACY MAHONEY CPNP NPI 1811290380

NPI Information

  • NPI: 1811290380
  • Provider Name: TRACY MAHONEY, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 300 LONGWOOD AVE UNIT 9NW
    BOSTON, MA
    ZIP 02115
  • Phone: (617) 355-1594

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NPI Details

Tracy Mahoney, CPNP is a pediatrics nurse practitioner in Boston, MA. Tracy Mahoney, CPNP NPI is 1811290380. 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:

300 LONGWOOD AVE UNIT 9NW
BOSTON, MA
ZIP 02115
Phone: (617) 355-1594
Fax: (617) 730-0790

The enumeration date for this NPI number is 12/6/2010 and was last updated on 8/22/2018.

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
1363LP0200XNurse PractitionerPediatricsRN2258710MASSACHUSETTSYes

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: 11/21/2025

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