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NPI · 1144104019 · NPPES-sourced

Maytilda Park RN

ActiveRegistered Nurse
NPI Number
1144104019
Type 1 · Individual
Taxonomy Code
163W00000X
Contact
(617) 735-5819
License MA · RN2317283
Last Updated
Enumerated
Primary practice addressMA · 02421-6334
2 Great Rock RdLexington, MA 02421-6334
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Also known as

  • Formerly known asPongsathonspon, Juthaporn

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1144104019 is registered to Maytilda Park RN, a Registered Nurse practising at 2 Great Rock Rd in Lexington, Massachusetts. Registered Nurse is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Maytilda Park RN has been enumerated in the National Provider Identifier (NPI) registry since 2025.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Maytilda Park RN accepts. To confirm in-network status with your specific health plan, contact Maytilda Park RN directly at (617) 735-5819.

Frequently asked

Yes. NPI 1144104019 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Registered Nurse is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (617) 735-5819.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Maytilda Park RN is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy163W00000X
Last updated
Enumerated
StatusActive
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