Individual provider Active NPI

Ashley Paige Theroux, NP

  • Family Nurse Practitioner
  • Haverhill, MA
National Provider Identifier
1154730505
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
283756 Issued in MA
Practice address
1 Park Way
Haverhill, MA 01830-6278
Phone
(888) 227-3762
Fax
(978) 374-6495
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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 283756 MA Primary

Addresses

Primary practice location

1 Park Way
Haverhill, MA 01830-6278

Mailing address

1 Park Way
Haverhill, MA 01830-6278
Phone (888) 227-3762

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
I20141219000630 MA Practitioner - Nurse Practitioner 0547480568 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Aug 12, 2015 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Sep 1, 2015 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Sep 1, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 12, 2015 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Oct 21, 2022 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

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

66 E Main St
Georgetown, MA 01833
Phone (978) 352-7780

62 Brown St
Ste 302
Haverhill, MA 01830
Phone (978) 521-8377

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

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

Interoperability endpoints

  • Direct secure messaging: theroux.ashley.pma@direct.partners.masshiway.net

Organizations & group practices 5

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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1154730505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK WAY",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306278",
            "telephone_number": "888-227-3762",
            "fax_number": "978-374-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WAY",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306278",
            "telephone_number": "888-227-3762",
            "fax_number": "978-374-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEROUX",
        "first_name": "ASHLEY",
        "middle_name": "PAIGE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "283756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.