Active NPI
Laurene Anne Plourde
- Community Health Worker
- West Bridgewater, MA
National Provider Identifier
1043853799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 455 W Center St
West Bridgewater, MA 02379-1637 - Phone
- (508) 443-4863
- NPI assigned
- Oct 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
455 W Center St
West Bridgewater, MA 02379-1637
Mailing address
455 W Center St
West Bridgewater, MA 02379-1637
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laurene@thelittlestliceshop.com |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1043853799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 W CENTER ST",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 W CENTER ST",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791637",
"telephone_number": "508-443-4863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOURDE",
"first_name": "LAURENE",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-25",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laurene@thelittlestliceshop.com",
"affiliation": "N",
"endpointDescription": "email address",
"address_1": "455 W Center St",
"city": "West Bridgewater",
"state": "MA",
"country_code": "US",
"postal_code": "023791637",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.