Individual provider Active NPI

Lindsay O'Sullivan, NP

  • Family Nurse Practitioner
  • Wrentham, MA
National Provider Identifier
1083087225
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2283283 Issued in MA
Practice address
131 Emerald St
Wrentham, MA 02093-1902
Phone
(508) 384-1624
NPI assigned
Nov 10, 2015
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2283283 MA Primary

Addresses

Primary practice location

131 Emerald St
Wrentham, MA 02093-1902

Mailing address

131 Emerald St
Wrentham, MA 02093-1902
Phone (508) 384-1624

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314001435 MA Practitioner - Nurse Practitioner 4385940501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shriver Clinical Services CorporationGroup PAC ID 9739165648, 5 clinicians

Practice addresses (Care Compare)

131 Emerald St
TMC Medical Office
Wrentham, MA 02093-1902
Phone (508) 384-3114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2283283MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shriver Clinical Services Corporation CurrentSince Dec 26, 2015 Accepting new patients

Locations

591 North Ave
#2
Wakefield, MA 01880
Phone (781) 246-8588

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1083087225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 EMERALD ST",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931902",
            "telephone_number": "508-384-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 EMERALD ST",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931902",
            "telephone_number": "508-384-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "LINDSAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2283283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrentham, MA

Sources for this page

Verify at the official NPI Registry.