Active NPIIndividual providerSole proprietor

Johanna T Mcdermott, NURSE PRACTITIONER

Nurse Practitioner, Pediatrics in Auburn, Massachusetts

NPI Number1699101188
Practice location
4 Brotherton Way, Auburn, MA 01501-2684
Fax
508-832-5751
Last updated
February 25, 2026

Johanna T Mcdermott is a Nurse Practitioner, Pediatrics based in Auburn, MA. Johanna T Mcdermott practices in Auburn, MA and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Johanna T Mcdermott is 1699101188 and holds a License No. RN254292 (MA). The current practice location address for Johanna T Mcdermott is 4 Brotherton Way, Auburn, MA 01501-2684 and can be reached out via phone at 508-832-5917 and via fax at 508-832-5751.

Provider Profile Details

NPI Number
1699101188
Provider Name
Johanna T Mcdermott
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
4 Brotherton Way, Auburn, MA 01501-2684
Phone Number
508-832-5917
Fax Number
508-832-5751
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
Yes
Provider Enumeration Date
September 17, 2013
Last Update Date
February 25, 2026
Certification Date
February 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Brotherton Way
Auburn, MA 01501-2684
City
Auburn
Zip
01501-2684
Phone Number
508-832-5917
Fax Number
508-832-5751
Auburn, MA 01501Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number (1)
RN254292
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Pediatrics · 363LP0200X · Primary
License Number (2)
RN254292
License State (2)
MA
Taxonomy (2)
Nurse Practitioner · 363L00000X

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 Johanna T Mcdermott, NURSE PRACTITIONER?

The NPI number of Johanna T Mcdermott, NURSE PRACTITIONER is 1699101188. It was assigned on September 17, 2013 and is currently active in the NPPES registry.

What is the specialty of Johanna T Mcdermott, NURSE PRACTITIONER?

Johanna T Mcdermott, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN254292.

Where does Johanna T Mcdermott, NURSE PRACTITIONER practice?

The practice location is 4 Brotherton Way, Auburn, MA 01501-2684. The office can be reached at 508-832-5917 (phone) or 508-832-5751 (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 1699101188 directly on the NPPES registry website.

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