Individual provider Active NPI

Courtney Healy, NP

  • Family Nurse Practitioner
  • Walpole, MA
National Provider Identifier
1104344415
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2274422 Issued in MA
Practice address
111 Norfolk St
Walpole, MA 02081
Phone
(508) 660-1200
Fax
(508) 660-1209
NPI assigned
Sep 7, 2017
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 RN2274422 MA Primary

Addresses

Primary practice location

111 Norfolk St
Walpole, MA 02081

Mailing address

111 Norfolk St
Walpole, MA 02081
Phone (508) 660-1200

Other practice location 1

978 Worcester St Fl 2
Wellesley, MA 02482-3709
Phone (781) 235-5200

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
I20180112000410 MA Practitioner - Nurse Practitioner 4981963287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 Corporation Way
Suite 180
Peabody, MA 01960-7996
Phone (978) 532-6111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Nov 27, 2017 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Sep 20, 2024 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients
NSPG Billing LLC Past Accepting new patients
North Shore Medical Center, Inc. PastSince Sep 20, 2024 Accepting new patients
Newton Wellesley Ambulatory Services PastSince Nov 27, 2017 Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

2 Corporation Way
Ste 180
Peabody, MA 01960
Phone (781) 248-1766

111 Norfolk St
Walpole, MA 02081
Phone (508) 660-1200

Interoperability endpoints

  • Direct secure messaging: healy.courtney.nwh@direct.partners.masshiway.net

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, 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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1104344415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NORFOLK ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "02081",
            "telephone_number": "508-660-1200",
            "fax_number": "508-660-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORFOLK ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "02081",
            "telephone_number": "508-660-1200",
            "fax_number": "508-660-1209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "978 Worcester St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024823709",
            "country_code": "US",
            "telephone_number": "781-235-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEALY",
        "first_name": "COURTNEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2274422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

Verify at the official NPI Registry.