Individual provider Active NPI

Lawna Blackwood Wigle, FNP

  • Family Nurse Practitioner
  • Newton Lower Falls, MA
National Provider Identifier
1205116225
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2268300 Issued in MA
Practice address
2014 Washington St FL 3
Newton Lower Falls, MA 02462-1607
Phone
(617) 243-6144
Fax
(617) 243-5684
NPI assigned
Aug 22, 2011
Last updated
Feb 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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 2268300 MA Primary

Addresses

Primary practice location

2014 Washington St FL 3
Newton Lower Falls, MA 02462-1607

Mailing address

2014 Washington St FL 3
Newton Lower Falls, MA 02462-1607
Phone (617) 243-6144

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
I20140324001525 MA Practitioner - Nurse Practitioner 7214109800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

391 Totten Pond Rd
Suite 404
Waltham, MA 02451-2014
Phone (919) 475-5665

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2268300MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Weight Management RX CurrentSince Nov 19, 2023 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Aug 23, 2016 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients
Brighton Family Practice, Inc Past Accepting new patients
Preventive Medicine Associates Past Accepting new patients

Locations

2014 Washington St
Fl 3
Newton Lower Falls, MA 02462
Phone (617) 243-6144

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

32 South St
Ste 301A
Waltham, MA 02453
Phone (617) 501-2588

Interoperability endpoints

  • Direct secure messaging: wigle.lawna.nwh@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1205116225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST FL 3",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621607",
            "telephone_number": "617-243-6144",
            "fax_number": "617-243-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST FL 3",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621607",
            "telephone_number": "617-243-6144",
            "fax_number": "617-243-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGLE",
        "first_name": "LAWNA",
        "middle_name": "BLACKWOOD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2268300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Lower Falls, MA

Sources for this page

Verify at the official NPI Registry.