Individual provider Active NPI

Brooke Guthrie, NP

  • Women's Health Nurse Practitioner
  • Salem, NH
National Provider Identifier
1235128000
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
090803-21 Issued in NH
Practice address
18 Keewaydin Dr
Salem, NH 03079-2839
Phone
(603) 898-4269
NPI assigned
Oct 14, 2005
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 090803-21 NH Primary
Women's Health Nurse Practitioner 363LW0102X 251946 MA

Addresses

Primary practice location

18 Keewaydin Dr
Salem, NH 03079-2839

Mailing address

254 Barker St
North Andover, MA 01845
Phone (617) 285-8842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040414001431 MA Practitioner - Nurse Practitioner 9537153903 Reassigns benefits to 2 organizations
I20230614001412 NH Practitioner - Nurse Practitioner 9537153903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates, Inc.Group PAC ID 6002946928, 155 clinicians

Practice addresses (Care Compare)

25 Marston St
Suite 301
Lawrence, MA 01841-2358
Phone (978) 946-8550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251946MAMDWomen's Health Nurse Practitioner
090803-21NHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince May 6, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince May 6, 2023 Accepting new patients
Brookline Family Counseling Center, Inc Past Accepting new patients
National Health Services, Inc Past Accepting new patients
Preventive Medicine Associates Past Accepting new patients

Locations

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

25 Marston St
Ste 301
Lawrence, MA 01841
Phone (978) 946-8230

70 East St
Methuen, MA 01844
Phone (978) 682-1906

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

18 Keewaydin Dr
Salem, NH 03079
Phone (603) 870-9150

22 Keewaydin Dr
Salem, NH 03079
Phone (603) 685-6977

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1235128000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 BARKER ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "617-285-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KEEWAYDIN DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792839",
            "telephone_number": "603-898-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "BROOKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NH",
            "license": "090803-21",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "251946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.