Individual provider Active NPI

Elisabete Santo Valente, NP

  • Family Nurse Practitioner
  • Lawrence, MA
National Provider Identifier
1306191168
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN282745 Issued in MA
Practice address
290 Merrimack St Ste 106
Lawrence, MA 01843-1783
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 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 RN282745 MA Primary

Addresses

Primary practice location

290 Merrimack St Ste 106
Lawrence, MA 01843-1783

Mailing address

4200 Montgomery Rd Ste 400
Cincinnati, OH 45212-3102
Phone (866) 510-4357

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
I20121207000144 MA Practitioner - Nurse Practitioner 1153573621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Systems, IncGroup PAC ID 8224017082, 16 clinicians

Practice addresses (Care Compare)

155 Oak St
Westborough, MA 01581-3317
Phone (508) 898-1570

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Systems, Inc CurrentSince Oct 28, 2024 Accepting new patients
Spectrum Health Systems Inc CurrentSince Oct 28, 2024 Accepting new patients

Locations

155 Oak St
Westborough, MA 01581
Phone (508) 393-7177

149 Oak St
Westborough, MA 01581

154 Oak St
Westborough, MA 01581
Phone (508) 898-1570

585 Lincoln St
Worcester, MA 01605
Phone (508) 831-0045

10 Mechanic St
Ste 302
Worcester, MA 01608
Phone (508) 792-5400

Interoperability endpoints

  • Direct secure messaging: elisabete.valente.1@11044.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1306191168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123102",
            "telephone_number": "866-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MERRIMACK ST STE 106",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431783",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTE",
        "first_name": "ELISABETE",
        "middle_name": "SANTO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN282745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.