Active NPI
Lauren Mercurio
- Occupational Therapist
- Haverhill, MA
National Provider Identifier
1063938769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12101
- Practice address
- 356 Main St
Haverhill, MA 01830-4008 - Phone
- (978) 373-0002
- Fax
- (978) 914-7824
- NPI assigned
- Aug 15, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12101 | MA | Primary |
Addresses
Primary practice location
356 Main St
Haverhill, MA 01830-4008
Mailing address
1 Stiles Rd
Ste 203
Salem, NH 03079-4804
Phone (855) 390-7774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12101 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1063938769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 STILES RD",
"address_2": "STE 203",
"city": "SALEM",
"state": "NH",
"postal_code": "030794804",
"telephone_number": "855-390-7774",
"fax_number": "855-734-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 MAIN ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018304008",
"telephone_number": "978-373-0002",
"fax_number": "978-914-7824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCURIO",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "12101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
- Jennifer Alen Melson
- Aldrich Mendes, THERAPEUTIC MENTOR
- Lourdes Mendez, IHT CLINICIAN
- Ralph Junior Mengoa Alvarez
- Esther Diana Menke
- Jenna Meriggi, DO
- Merrimack Behavioral Partners LLC
- Merrimack Psychiatric Associates, PC
- Merrimack Street Orthodontics, P.C. (Smile Braces)
- Merrimack Valley Child & Adolescent Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.