Individual provider Active NPI

Lisa Paula Viveiros, NP

  • Family Medicine Physician
  • Brockton, MA
National Provider Identifier
1245365949
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
251293 Issued in MA
Practice address
235 N Pearl St
Brockton, MA 02301-1794
Phone
(617) 835-7379
NPI assigned
Feb 22, 2007
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 251293 MA Primary

Addresses

Primary practice location

235 N Pearl St
Brockton, MA 02301-1794

Mailing address

40 Louise Rd
Braintree, MA 02184-5902
Phone (781) 817-6122

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
I20100125000358 MA Practitioner - Nurse Practitioner 0941342299 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251293MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carecentral Urgent Care Medical Group PC CurrentSince Jul 20, 2015 Accepting new patients
Sound Physicians of Massachusetts, Inc Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Sound Physicians of Massachusetts, Inc Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Sound Physicians of Massachusetts II PC CurrentSince Jun 17, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 1, 2011 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 1, 2011 Accepting new patients
Sound Physicians of Massachusetts Inc Family Medicine Current Accepting new patients
Steward Emergency Physicians, Inc CurrentSince Jun 1, 2019 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Jul 20, 2015 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

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

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

1180 Beacon St
Ste 3C
Brookline, MA 02446
Phone (617) 202-9222

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2626

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

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

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

286 Washington St
Stoughton, MA 02072
Phone (781) 341-2800

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1245365949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LOUISE RD",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845902",
            "telephone_number": "781-817-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "617-835-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVEIROS",
        "first_name": "LISA",
        "middle_name": "PAULA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "251293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.