Orleans Dermatology & Laser Therapies, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN/NP195664 Issued in MA

Legal business name

ORLEANS DERMATOLOGY & LASER THERAPIES, LLC

Practice address

3 Namskaket Road
Orleans, MA 02653

Phone

(508) 255-4050

Fax

(888) 448-6765

NPI assigned

May 7, 2013

Last updated

Jan 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam Kravitz, DNP, FNP-BCNPI 1376614859

Title

Official / Owner

Phone

(508) 255-4050

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miriam Kravitz, D.N.P., FNP-BC

  • Family Nurse Practitioner
  • Orleans, MA
  • NPI 1376614859
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Sarah Benoit-Bedford, FNP-BC

  • Nurse Practitioner
  • Orleans, MA
  • NPI 1720751951
  Medicare reassignment Care Compare group NPD
• Steven A Franks, MD

  • Dermatology Physician
  • Westford, MA
  • NPI 1548251093
  Medicare reassignment NPD
• Roxanne Cumming, MD

  • Internal Medicine Physician
  • Orleans, MA
  • NPI 1770547564
  NPD (past)

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1285079038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NAMSKAKET ROAD",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "02653",
            "telephone_number": "508-255-4050",
            "fax_number": "888-448-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 NAMSKAKET ROAD",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "02653",
            "telephone_number": "508-255-4050",
            "fax_number": "888-448-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLEANS DERMATOLOGY & LASER THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "KRAVITZ",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OFFICIAL / OWNER",
        "authorized_official_telephone_number": "508-255-4050",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN/NP195664",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN/NP195664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1706503",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New England Sound LLC (Miracle Ear)
• Ann M Nolan, PT CHT
• Mary Catherine O'Connor, LCSW
• Maureen O'Regan, LICSW
• Orleans Convalescent Home, Inc.
• Orleans Medical Center, P.C.
• Orleans Psychotherapy Associates
• Orleans SNF Opco LLC (The Terraces Orleans)
• Outer Cape Health Services, Inc
• Outer Cape Health Services, Inc. (Orleans Health Center Pharmacy)

• Nurse Practitioner in Orleans, MA
• Providers in Orleans, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.