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

Jill T Kooyoomjian, NP

Individual provider Registered Nurse · NPI 1821240177

Jill T Kooyoomjian, NP is a Nurse Practitioner in Peabody, Massachusetts. Qualified in 2008, 18 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
18
Licensed in
MA
In the registry since
2008
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1 Essex Center Drive Lahey Northshore
Peabody, MA 01960-4711
Phone: (978) 538-4370
Fax: (978) 538-4708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence 274888 (MA)
Registered Nurse Taxonomy 163W00000X · Licence 274888 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN274888 (MA)

Record details

NPI number1821240177
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 17, 2008
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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