Individual provider Active NPI

Lynda Cripps, NP

  • Gerontology Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1225509920
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN255811 Issued in MA
Practice address
34 N Pearl St
Brockton, MA 02301-1708
Phone
(508) 408-9200
Fax
(857) 408-9200
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN255811 MA
Gerontology Nurse Practitioner 363LG0600X RN255811 MA Primary

Addresses

Primary practice location

34 N Pearl St
Brockton, MA 02301-1708

Mailing address

801 Albany St FL G
Boston, MA 02119-3791

Other practice location 1

31 Pine St
Norfolk, MA 02056-1679
Phone (508) 623-3700 ext. 3711

Other practice location 2

780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1000

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
I20190218001512 MA Practitioner - Nurse Practitioner 8729326715 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Aug 7, 2022 Accepting new patients
High Point Treatment Center Inc. CurrentSince Feb 7, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 7, 2022 Accepting new patients
Evans Medical Foundation, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Boston University Psychiatry Associates, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients

Locations

85 East Newton St
Ste 905
Boston, MA 02118
Phone (617) 414-5245

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

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

34 N Pearl St
Brockton, MA 02301
Phone (508) 408-9200

10 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 584-9210

30 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 408-6190

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

72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448

1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527

801 Albany St
Fl G
Roxbury, MA 02119

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: lcripps176371@direct.bmc.masshiway.net

Organizations & group practices 6

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": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1225509920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ALBANY ST FL G",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021193791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011708",
            "telephone_number": "508-408-9200",
            "fax_number": "857-408-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Pine St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "MA",
            "postal_code": "020561679",
            "country_code": "US",
            "telephone_number": "508-623-3700 x3711",
            "fax_number": "508-623-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Albany St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182755",
            "country_code": "US",
            "telephone_number": "857-654-1000",
            "fax_number": "857-654-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIPPS",
        "first_name": "LYNDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN255811",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN255811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.