Sarah Laurie Archibald, NP

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Amherst, MA

NPI 1295087492 · NPPES record last updated May 12, 2023

Key facts

NPI
1295087492
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
RN2270550 (MA)
Practice address
111 County Cir
Amherst, MA 01003-9255
Phone
(413) 545-2337
Fax
(413) 545-9602
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1637248COMDRegistered Nurse
R202677MDMDRegistered Nurse
0000441-NPCOMDPsychiatric/Mental Health Nurse Practitioner
RN2270550MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Health Services Amherst Past
since May 14, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R202677 MD
Registered Nurse 163W00000X 1637248 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R202677 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0000441-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2270550 MA Yes

Addresses

Primary practice location

111 County Cir
Amherst, MA 01003-9255

Mailing address

111 County Cir
Amherst, MA 01003-9255
Phone (413) 545-2337

Other identifiers

IdentifierTypeStateIssuer
420968100MedicaidMD

Other names

  • Sarah Laurie Blefeld Former name

Other providers in Amherst, MA

All providers in Amherst, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.