Individual provider Active NPI

Hannah Emily Landsberg, NP

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1265955587
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2307084 Issued in MA
Practice address
881 Commonwealth Avenue
West
Boston, MA 02215
Phone
(508) 572-4756
Fax
(617) 353-3577
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 RN2307084 MA Primary

Addresses

Primary practice location

881 Commonwealth Avenue
West
Boston, MA 02215

Mailing address

881 Commonwealth Avenue
West
Boston, MA 02215
Phone (508) 572-4756

Other practice location 1

364 State Rd
Vineyard Haven, MA 02568-5624
Phone (508) 693-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2307084MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Boston University PastSince Nov 13, 2022 Accepting new patients

Organizations & group practices 1

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1265955587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 COMMONWEALTH AVENUE",
            "address_2": "WEST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "508-572-4756",
            "fax_number": "617-353-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 COMMONWEALTH AVENUE",
            "address_2": "WEST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "508-572-4756",
            "fax_number": "617-353-3577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "364 State Rd",
            "address_purpose": "LOCATION",
            "city": "Vineyard Haven",
            "state": "MA",
            "postal_code": "025685624",
            "country_code": "US",
            "telephone_number": "508-693-4400",
            "fax_number": "508-693-2098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDSBERG",
        "first_name": "HANNAH",
        "middle_name": "EMILY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2307084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.