Active NPIIndividual provider

Destiny E Fillmore

Nurse Practitioner, Family in Reading, Massachusetts

NPI Number1992479166
Practice location
451 Lowell St, Reading, MA 01867-1533
Fax
—
Last updated
February 19, 2025

Destiny Evangeline Fillmore is a Nurse Practitioner, Family based in Reading, MA. Destiny Evangeline Fillmore practices in Reading, MA. The NPI Number for Destiny Evangeline Fillmore is 1992479166 and holds a License No. RN2295954 (MA). The current practice location address for Destiny Evangeline Fillmore is 451 Lowell St, Reading, MA 01867-1533 and can be reached out via phone at 781-248-8569.

Provider Profile Details

NPI Number
1992479166
Provider Name
Destiny Evangeline Fillmore
Provider Entity Type
Individual
Gender
Female
Address
451 Lowell St, Reading, MA 01867-1533
Phone Number
781-248-8569
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 2, 2021
Last Update Date
February 19, 2025
Certification Date
February 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
451 Lowell St
Reading, MA 01867-1533
Zip
01867-1533
Phone Number
781-248-8569
Reading, MA 01867Get directions →

Provider Business Mailing Address Details

Address
451 Lowell St
Reading, MA 01867-1533
City
Reading
State
MA
Zip
01867-1533
Phone Number
781-248-8569

License Information

License Number (1)
RN2295954
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2295954
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Destiny E Fillmore?

The NPI number of Destiny E Fillmore is 1992479166. It was assigned on August 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Destiny E Fillmore?

Destiny E Fillmore is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2295954.

Where does Destiny E Fillmore practice?

The practice location is 451 Lowell St, Reading, MA 01867-1533. The office can be reached at 781-248-8569 (phone).

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 1992479166 directly on the NPPES registry website.

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