Individual provider Active NPI

Laura Ann Labombard, CNP

  • Family Nurse Practitioner
  • Greenfield, MA
National Provider Identifier
1114303096
Registry record updated Oct 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2266664 Issued in MA
Practice address
137 Federal St
Greenfield, MA 01301-2544
Phone
(413) 774-7201
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2018

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 RN2266664 MA Primary

Addresses

Primary practice location

137 Federal St
Greenfield, MA 01301-2544

Mailing address

137 Federal St
Greenfield, MA 01301-2544
Phone (413) 774-7201

Other practice location 1

48 Sanderson St
Greenfield, MA 01301-2778
Phone (413) 773-2022

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
I20151009001554 MA Practitioner - Nurse Practitioner 1153639232 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
Telehealth
Offers telehealth services
Group practices
Total Wellness Centers LLCGroup PAC ID 2860536919, 39 clinicians

Practice addresses (Care Compare)

900 Memorial Ave
West Springfield, MA 01089-3557
Phone (413) 584-2173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2266664MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Centers, LLC CurrentSince Mar 1, 2020 Accepting new patients
Total Wellness Centers, LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

201 S Main St
Ste 3
Athol, MA 01331
Phone (978) 248-0442

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540684800000",
    "number": "1114303096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 FEDERAL ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012544",
            "telephone_number": "413-774-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 FEDERAL ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012544",
            "telephone_number": "413-774-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Sanderson St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013012778",
            "country_code": "US",
            "telephone_number": "413-773-2022",
            "fax_number": "413-773-4945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABOMBARD",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2018-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2266664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.