Individual provider Active NPI

Judith Michelle Lavigniac, APRN-BC

  • Family Nurse Practitioner
  • Plymouth, MA
National Provider Identifier
1154340834
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
122942 Issued in MA
Practice address
1233 State Rd
Plymouth, MA 02360-5133
Phone
(508) 224-7701
Fax
(508) 224-2175
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 122942 MA Primary
Psychoanalyst 102L00000X 122942 MA

Addresses

Primary practice location

1233 State Rd
Plymouth, MA 02360-5133

Mailing address

7 Ridgetop Rd
Forestdale, MA 02644-1628
Phone (508) 477-6805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122942MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Cape Cod Hospital CurrentSince Jun 3, 2018 Accepting new patients
Bickford Health Associates, PC PastSince May 5, 1995 Accepting new patients

Locations

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1154340834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RIDGETOP RD",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441628",
            "telephone_number": "508-477-6805",
            "fax_number": "508-224-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 STATE RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023605133",
            "telephone_number": "508-224-7701",
            "fax_number": "508-224-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIGNIAC",
        "first_name": "JUDITH",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "122942",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "MA",
            "license": "122942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.