Active NPI
Laura Monroe Will, N.P., R.N.
- Nurse Practitioner
- Boston, MA
National Provider Identifier
1003159609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2290930
- Practice address
- 20 Bradston St
Attn: Medical Services Dept H.S.a Suffolk Corrections
Boston, MA 02118-2705 - Phone
- (617) 635-1000
- NPI assigned
- Apr 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2290930 | MA | Primary |
| Registered Nurse | 163W00000X | RN2290930 | MA |
Addresses
Primary practice location
20 Bradston St
Attn: Medical Services Dept H.S.a Suffolk Corrections
Boston, MA 02118-2705
Mailing address
20 Bradston St
Attn: Medical Services Dept H.S.a Suffolk Corrections
Boston, MA 02118-2705
Phone (617) 635-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2290930 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prison Health Clinic/Center
- Boston, MA
- NPI 1669358461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1003159609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BRADSTON ST",
"address_2": "ATTN: MEDICAL SERVICES DEPT H.S.A SUFFOLK CORRECTIONS",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182705",
"telephone_number": "617-635-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BRADSTON ST",
"address_2": "ATTN: MEDICAL SERVICES DEPT H.S.A SUFFOLK CORRECTIONS",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182705",
"telephone_number": "617-635-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILL",
"first_name": "LAURA",
"middle_name": "MONROE",
"name_prefix": "Ms.",
"credential": "N.P., R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-02",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2290930",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2290930",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.