Individual provider Active NPI

Jamie Lee McCarthy, APRN

  • Adult Health Nurse Practitioner
  • Westborough, MA
National Provider Identifier
1043282445
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
232684 Issued in MA
Practice address
1400 Computer Dr Ste 301
Westborough, MA 01581-1790
Phone
(617) 420-5316
NPI assigned
Feb 2, 2006
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 232684 MA Primary
Gerontology Nurse Practitioner 363LG0600X 232684 MA

Addresses

Primary practice location

1400 Computer Dr Ste 301
Westborough, MA 01581-1790

Mailing address

780 Chestnut St
Ste 23
Springfield, MA 01107-1610
Phone (413) 787-2800

Other practice location 1

780 Chestnut St
Ste 23
Springfield, MA 01107-1610
Phone (413) 787-2800

Other identifiers 2

IdentifierTypeStateIssuer
NP4334OtherMABLUE CROSS
8303928OtherMAEVERCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016001461 MA Order and Referring Only - Nurse Practitioner 2567364896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
232684MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Medical Associates PC PastSince Oct 22, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmccarthy@landmarkhealth-direct.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1043282445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CHESTNUT ST",
            "address_2": "STE 23",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071610",
            "telephone_number": "413-787-2800",
            "fax_number": "413-787-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COMPUTER DR STE 301",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811790",
            "telephone_number": "617-420-5316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Chestnut St",
            "address_2": "Ste 23",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071610",
            "country_code": "US",
            "telephone_number": "413-787-2800",
            "fax_number": "413-787-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "JAMIE LEE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "232684",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "232684",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NP4334",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "8303928",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.