Individual provider Active NPI

Joanna G Peatfield, MSRN,BC

  • Gerontology Nurse Practitioner
  • Lawrence, MA
National Provider Identifier
1053460584
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
157069 Issued in MA
Practice address
360 Merrimack St
Ste 9
Lawrence, MA 01843-1764
Phone
(978) 655-6652
Fax
(978) 655-6653
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 157069 MA Primary

Addresses

Primary practice location

360 Merrimack St
Ste 9
Lawrence, MA 01843-1764

Mailing address

360 Merrimack St
Ste 9
Lawrence, MA 01843-1764
Phone (978) 655-6652

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

State licenses

LicenseStateTypeSpecialty
157069MAMDGerontology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: joanna.peatfield.p1@direct.fallonhealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1053460584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "STE 9",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431764",
            "telephone_number": "978-655-6652",
            "fax_number": "978-655-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "STE 9",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431764",
            "telephone_number": "978-655-6652",
            "fax_number": "978-655-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEATFIELD",
        "first_name": "JOANNA",
        "middle_name": "G",
        "credential": "MSRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "157069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.