Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destiny Evangeline Fillmore

Individual provider Registered Nurse · NPI 1992479166

Destiny Evangeline Fillmore is a Nurse Practitioner in Reading, Massachusetts. Qualified in 2021, 5 years ago. Practices with Beth Israel Lahey Health Specialty Care, Inc, a 263-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

451 Lowell St
Reading, MA 01867-1533
Phone: (781) 248-8569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2295954 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2295954 (MA)

Record details

NPI number1992479166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing address451 Lowell St, Reading, MA 01867-1533

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Beth Israel Lahey Health Specialty Care, Inc. — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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