Individual provider Active NPI

Laura C Lima, N.P.

  • Nurse Practitioner
  • Stoughton, MA
National Provider Identifier
1104179613
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN257321 Issued in MA
Practice address
630 Park St Ste 207
Stoughton, MA 02072-3659
Phone
(508) 561-0216
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN257321 MA Primary

Addresses

Primary practice location

630 Park St Ste 207
Stoughton, MA 02072-3659

Mailing address

PO Box 854
Lakeville, MA 02347-0854
Phone (617) 851-3583

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
I20130125000018 MA Practitioner - Nurse Practitioner 3678727781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

630 Park St
Suite 207
Stoughton, MA 02072-3659
Phone (508) 561-0216

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Nov 19, 2012 Accepting new patients
General Hospital Corp Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Nov 19, 2012 Accepting new patients
New Age Healthcare & Wellness LLC CurrentSince Dec 17, 2021 Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

300A Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2213

300A Faunce Corner Rd
Ste 200
North Dartmouth, MA 02747
Phone (508) 973-2213

630 Park St
Ste 207
Stoughton, MA 02072
Phone (508) 561-0216

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25595/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lima.laura.mgh@direct.partners.masshiway.net
  • Direct secure messaging: laura.lima.1@25595.direct.athenahealth.com

Organizations & group practices 6

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1104179613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 854",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023470854",
            "telephone_number": "617-851-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PARK ST STE 207",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723659",
            "telephone_number": "508-561-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMA",
        "first_name": "LAURA",
        "middle_name": "C",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN257321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.