Individual provider Active NPI

Lauren Sewell Davis, NP

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1316193634
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
322055 Issued in MA
Practice address
400 Fenway
Boston, MA 02115-5725
Phone
(617) 264-7678
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN267552 MA
Family Nurse Practitioner 363LF0000X 322055 MA Primary

Addresses

Primary practice location

400 Fenway
Boston, MA 02115-5725

Mailing address

48 Pine Ridge Rd
Wellesley Hills, MA 02481-1638
Phone (214) 679-1270

Other identifiers 1

IdentifierTypeStateIssuer
0720208MedicaidMA

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
I20090124000075 MA Practitioner - Nurse Practitioner 4587722038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natalie Pauli MD LLCGroup PAC ID 4385171156, 2 clinicians

Practice addresses (Care Compare)

1 Hollis St
Suite 350
Wellesley, MA 02482-4674
Phone (781) 519-6063

63 Main St
Brockton, MA 02301-4042
Phone (508) 559-6699

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322055MAMDFamily Nurse Practitioner
RN267552MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Neighborhood Health Center CurrentSince Sep 25, 2023 Accepting new patients
Natalie Pauli MD LLC CurrentSince Jan 1, 2026 Accepting new patients
Brockton Neighborhood Health Center, Inc. CurrentSince Sep 25, 2023 Accepting new patients

Locations

63 Main St
Brockton, MA 02301
Phone (508) 559-6696

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

1 Hollis St
Ste 350
Wellesley, MA 02482
Phone (617) 875-9046

Interoperability endpoints

  • FHIR API: https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: ldavis45834@direct.ctc.masshiway.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1316193634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PINE RIDGE RD",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811638",
            "telephone_number": "214-679-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FENWAY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155725",
            "telephone_number": "617-264-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAUREN",
        "middle_name": "SEWELL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN267552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "322055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0720208",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.