Individual provider Active NPI

Tran Lam, DNP

  • Nurse Practitioner
  • Ludlow, MA
National Provider Identifier
1093411936
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2317857 Issued in MA
Practice address
200 Center St Ste 18
Ludlow, MA 01056-2774
Phone
(413) 589-7176
Fax
(413) 589-7710
NPI assigned
Feb 2, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2317857 MA Primary
Registered Nurse 163W00000X RN2317857 MA

Addresses

Primary practice location

200 Center St Ste 18
Ludlow, MA 01056-2774

Mailing address

200 Center St Ste 18
Ludlow, MA 01056-2774
Phone (413) 589-7176

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
I20260328000086 MA Practitioner - Nurse Practitioner 7315422284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Ctr St
Ludlow, MA 01056-2772

200 Ctr St
Suite 18
Ludlow, MA 01056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2317857MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gino Mercadante, P.C. CurrentSince Feb 8, 2023 Accepting new patients
System Coordinated Services, Inc Past Accepting new patients

Locations

200 Center St
Ludlow, MA 01056
Phone (413) 583-3600

200 Center St
Ste 18
Ludlow, MA 01056
Phone (413) 589-7176

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGHHBD/Endpoint/HGHHBD

Organizations & group practices 2

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1093411936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTER ST STE 18",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562774",
            "telephone_number": "413-589-7176",
            "fax_number": "413-589-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER ST STE 18",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562774",
            "telephone_number": "413-589-7176",
            "fax_number": "413-589-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "TRAN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2317857",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2317857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

Verify at the official NPI Registry.