Myrna J Lombard, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP79809 Issued in MA

Practice address

77 Herrick St
Ste 101
Beverly, MA 01915-3012

Phone

(978) 927-4110

Fax

(978) 232-7057

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Medical Group, Inc., the

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1407862048
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235146309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST",
            "address_2": "STE 101",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153012",
            "telephone_number": "978-927-4110",
            "fax_number": "978-232-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST",
            "address_2": "STE 101",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153012",
            "telephone_number": "978-927-4110",
            "fax_number": "978-232-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARD",
        "first_name": "MYRNA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "NP79809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0703231",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "NP2519",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Loeu
• Abigail Loewenstein, M.A., LMHC
• Logistics Transportation Services Inc. (LTS Transportation)
• Sandra C Logrande, PTA
• Amy Rendell Lombara, PT
• Anthony Lomonaco, D.O.
• Kaylen Longval, RN, BSN
• Maria Lonshteyn
• Stephanie Lopez
• Wendy Lopez

• Adult Health Nurse Practitioner in Beverly, MA
• Providers in Beverly, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.