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Theresa Comerford, FNP

Nurse Practitioner, Family in Boston, MA. Individual provider (NPI-1).

NPI number1609594845
StatusActive
Last updated in NPPESJul 23, 2025

Details

NPI
1609594845
Entity type
Individual (NPI-1)
Name
Theresa Comerford
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 15, 2022
Certification date
Jul 23, 2025
Last updated
Jul 23, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN2317116MAYes
163W00000X Registered NurseRN2317116MA

Other names

  • Theresa Fullerton (Former Name)

Practice location

55 Fruit St Ste 800
Boston, MA 02114-2621

Phone 617-726-2000

Mailing address

55 Fruit St
Boston, MA 02114-2696

Phone 866-925-4767

Other practice locations

55 Fogg Rd
South Weymouth, MA 02190-2455

Phone 781-624-8000

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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