Audra A Noonan, PMHNP AGPCNP ,ACHPN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Marion, MA
NPI 1083085575 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1083085575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN264353 (MA)
- Practice address
- 156 Front St
Marion, MA 02738-1501 - Phone
- (508) 748-3736
- Fax
- (508) 748-3767
- NPI assigned
- Oct 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180522002238 | MA | Practitioner - Nurse Practitioner | 9830475813 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN264353 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
| APRN00762 | RI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seahorse Behavioral, Inc. | Multi-Specialty | Current |
Accepting new patients |
Interoperability endpoints
- anoonan@landmarkhealth-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN00762 | RI | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN00762 | RI | |
| Gerontology Nurse Practitioner |
363LG0600X | RN264353 | MA | |
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | RN264353 | MA | Yes |
| Primary Care Nurse Practitioner | 363LP2300X | APRN00762 | RI | |
| Adult Health Nurse Practitioner |
363LA2200X | 264353 | MA | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN00762 | RI | |
| Hospice and Palliative Medicine (Psychiatry & Neurology) Physician |
2084H0002X | RN264353 | MA |
Addresses
Primary practice location
156 Front St
Marion, MA 02738-1501
Mailing address
156 Front St
Marion, MA 02738-1501
Phone (508) 748-3736
Other practice location 1
30 Baltimore St
Millis, MA 02054-1702
Phone (508) 748-3736
Other practice location 2
511 W Grove St
Middleboro, MA 02346-1458
Phone (508) 748-3736
Other providers in Marion, MA
- John T Mello
- Misty Midkiff
- Mindworks Counseling LLC
- MRN Corporation
- Hannah Rae Nadeau
- Ashley Nye
- Meghan O'Donnell-Parks
- Denise Vallequette O'Meara
- Hannah Oran
- Katherine Anne Orlowski
All providers in Marion, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.