Individual provider Active NPI

Marcelle Viens Larose, FNP-BC

  • Family Nurse Practitioner
  • North Easton, MA
National Provider Identifier
1245662691
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2275409 Issued in MA
Practice address
3 Washington St Ste 220
North Easton, MA 02356-1034
Phone
(508) 230-0155
Fax
(508) 230-0145
NPI assigned
Aug 7, 2013
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 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 RN2275409 MA Primary

Addresses

Primary practice location

3 Washington St Ste 220
North Easton, MA 02356-1034

Mailing address

710 Langley St
Fall River, MA 02720-6231
Phone (774) 644-0283

Other identifiers 1

IdentifierTypeStateIssuer
110083026AMedicaidMA

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
I20150204001437 MA Practitioner - Nurse Practitioner 4385969815 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2275409MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Family Medicine CurrentSince Dec 29, 2014 Accepting new patients
Convenientmd LLC Past Accepting new patients

Locations

3 Washington St
Ste 220
North Easton, MA 02356
Phone (508) 230-0155

Interoperability endpoints

  • Direct secure messaging: marcelle.viens.1@2020.direct.athenahealth.com

Organizations & group practices 2

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": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1245662691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LANGLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206231",
            "telephone_number": "774-644-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON ST STE 220",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561034",
            "telephone_number": "508-230-0155",
            "fax_number": "508-230-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIENS LAROSE",
        "first_name": "MARCELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2275409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110083026A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.