Active NPIIndividual provider

Christina M Iliades, RN

Nurse Practitioner, Psych/Mental Health in Medford, Massachusetts

NPI Number1336447218
Practice location
200 Governors Ave, Medford, MA 02155-1644
Fax
781-306-6285
Last updated
September 22, 2025

Christina M Iliades is a Nurse Practitioner, Psych/Mental Health based in Medford, MA. Christina M Iliades practices in Medford, MA and has the professional credentials of RN. The NPI Number for Christina M Iliades is 1336447218 and holds a License No. RN278922 (MA). The current practice location address for Christina M Iliades is 200 Governors Ave, Medford, MA 02155-1644 and can be reached out via phone at 781-306-6888 and via fax at 781-306-6285.

Provider Profile Details

NPI Number
1336447218
Provider Name
Christina M Iliades
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
200 Governors Ave, Medford, MA 02155-1644
Phone Number
781-306-6888
Fax Number
781-306-6285
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
March 2, 2011
Last Update Date
September 22, 2025
Certification Date
September 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Governors Ave
Medford, MA 02155-1644
Zip
02155-1644
Phone Number
781-306-6888
Fax Number
781-306-6285
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
200 Governors Ave
Medford, MA 02155-1644
City
Medford
State
MA
Zip
02155-1644
Phone Number
781-306-6888
Fax Number
781-306-6285

License Information

License Number
RN278922
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Christina M Iliades, RN?

The NPI number of Christina M Iliades, RN is 1336447218. It was assigned on March 2, 2011 and is currently active in the NPPES registry.

What is the specialty of Christina M Iliades, RN?

Christina M Iliades, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN278922.

Where does Christina M Iliades, RN practice?

The practice location is 200 Governors Ave, Medford, MA 02155-1644. The office can be reached at 781-306-6888 (phone) or 781-306-6285 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336447218 directly on the NPPES registry website.

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