Active NPI
Lynne Michelle Henning, ARNP
- Family Nurse Practitioner
- Watertown, MA
National Provider Identifier
1043319783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2307310
- Practice address
- 260 Arsenal PL
Watertown, MA 02472-3171 - Phone
- (888) 897-1887
- Fax
- (857) 343-8192
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 055251-23-03 | NH | |
| Family Nurse Practitioner | 363LF0000X | RN2307310 | MA | Primary |
Addresses
Primary practice location
260 Arsenal PL
Watertown, MA 02472-3171
Mailing address
260 Arsenal PL
Watertown, MA 02472-3171
Phone (888) 897-1887
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160623000514 | MA | Practitioner - Nurse Practitioner | 5991701435 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2307310 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Affiliated Group Practice, Inc. | Current | Accepting new patients | |
| Medical Care of Boston Management Corporation | Current | Accepting new patients | |
| River Valley Infectious Disease Specialists Inc. | Past | Accepting new patients |
Locations
24 Morrill Pl
Amesbury, MA 01913
Phone (978) 388-5050
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217
93 Pond St
Sharon, MA 02067
Phone (781) 784-9212
Interoperability endpoints
- lynne.henning@79171750068228.direct.elationemr.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
MA
-
- Infectious Disease Physician
- Newburyport, MA
- NPI 1366712002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1043319783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 ARSENAL PL",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723171",
"telephone_number": "888-897-1887",
"fax_number": "857-343-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 ARSENAL PL",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723171",
"telephone_number": "888-897-1887",
"fax_number": "857-343-8192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNING",
"first_name": "LYNNE",
"middle_name": "MICHELLE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "055251-23-03",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2307310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.