Active NPIIndividual provider

Jill T Kooyoomjian, NP

Nurse Practitioner, Obstetrics & Gynecology in Peabody, Massachusetts

NPI Number1821240177
Practice location
1 Essex Center Drive, Lahey Northshore, Peabody, MA 01960-4711
Fax
978-538-4708
Last updated
June 10, 2020

Jill T Kooyoomjian is a Nurse Practitioner, Obstetrics & Gynecology based in Peabody, MA. Jill T Kooyoomjian practices in Peabody, MA and has the professional credentials of NP. The NPI Number for Jill T Kooyoomjian is 1821240177 and holds a License No. 274888 (MA). The current practice location address for Jill T Kooyoomjian is 1 Essex Center Drive, Lahey Northshore, Peabody, MA 01960-4711 and can be reached out via phone at 978-538-4370 and via fax at 978-538-4708.

Provider Profile Details

NPI Number
1821240177
Provider Name
Jill T Kooyoomjian
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1 Essex Center Drive, Lahey Northshore, Peabody, MA 01960-4711
Phone Number
978-538-4370
Fax Number
978-538-4708
Primary Taxonomy
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2008
Last Update Date
June 10, 2020
Certification Date
June 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Essex Center Drive
Lahey Northshore
Peabody, MA 01960-4711
Zip
01960-4711
Phone Number
978-538-4370
Fax Number
978-538-4708
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
1 Essex Center Dr.
Lahey Clinic
Peabody, MA 01960
City
Peabody
State
MA
Zip
01960
Phone Number
781-674-1587
Fax Number
781-674-1200

License Information

License Number (1)
274888
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN274888
License State (2)
MA
Taxonomy (2)
Nurse Practitioner · 363L00000X
License Number (3)
274888
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X · Primary

Legacy Identifiers

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

Other Nurse Practitioner, Obstetrics & Gynecology providers near Peabody, MA

View all Nurse Practitioner, Obstetrics & Gynecology providers in Peabody →

Frequently Asked Questions

What is the NPI number of Jill T Kooyoomjian, NP?

The NPI number of Jill T Kooyoomjian, NP is 1821240177. It was assigned on October 17, 2008 and is currently active in the NPPES registry.

What is the specialty of Jill T Kooyoomjian, NP?

Jill T Kooyoomjian, NP is registered under the primary taxonomy Nurse Practitioner, Obstetrics & Gynecology (code 363LX0001X), licensed in MA under license number 274888.

Where does Jill T Kooyoomjian, NP practice?

The practice location is 1 Essex Center Drive, Lahey Northshore, Peabody, MA 01960-4711. The office can be reached at 978-538-4370 (phone) or 978-538-4708 (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 1821240177 directly on the NPPES registry website.

Browse related providers