Active NPI
Beth H Dombrowski, N.P.
- Family Nurse Practitioner
- Mansfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2284354
- Practice address
- 200 Copeland Dr
Mansfield, MA 02048-1225 - Phone
- (508) 339-4144
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2284354 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2284354 | MA | Primary |
Addresses
Primary practice location
200 Copeland Dr
Mansfield, MA 02048-1225
Mailing address
200 Copeland Dr
Mansfield, MA 02048-1225
Phone (508) 339-4144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S400251735 | Other | MA | MEDICARE PTAN |
Other names 1
- Beth A Hurlburt
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Copeland Dr
Mansfield, MA 02048-1225
Phone (508) 339-4144
60 Messenger St
Plainville, MA 02762-2258
Phone (508) 695-0055
Hospital & facility affiliations
- Amedisys Home Health Care
- Accentcare Home Health of Massachusetts
- Sturdy Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2284354 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sturdy Memorial Hospital Inc | Current | Accepting new patients | |
| Sturdy Health Inc | Current | Accepting new patients | |
| Sturdy Health Inc | Past | Accepting new patients |
Locations
200 Copeland Dr
Mansfield, MA 02048
Phone (508) 339-4144
60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Plainville, MA
- NPI 1104347319
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
-
- Internal Medicine Physician
- Mansfield, MA
- NPI 1871515874
-
- Family Medicine Physician
- North Attleboro, MA
- NPI 1497771703
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Westwood, MA
- NPI 1720391329
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
-
- Home Health Agency
- Wakefield, MA
- NPI 1407800584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1124448428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 COPELAND DR",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481225",
"telephone_number": "508-339-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 COPELAND DR",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481225",
"telephone_number": "508-339-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMBROWSKI",
"first_name": "BETH",
"middle_name": "H",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-24",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2284354",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2284354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "S400251735",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "HURLBURT",
"middle_name": "A",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.