Active NPI
Sophonia Lucien, FNP-C
- Family Nurse Practitioner
- Roxbury, MA
National Provider Identifier
1326390642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2262125
- Practice address
- 1290 Tremont St
Roxbury, MA 02120-3432 - Phone
- (617) 427-1000
- Fax
- (617) 858-2668
- NPI assigned
- Oct 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2262125 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2262125 | MA | Primary |
Addresses
Primary practice location
1290 Tremont St
Roxbury, MA 02120-3432
Mailing address
1290 Tremont St
Roxbury, MA 02120-3432
Phone (617) 427-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110139469A | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Sophonia.lucien@wshc.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1575 Blue Hill Ave
Boston, MA 02126-2122
Phone (617) 296-0061
637 Washington St
Dorchester, MA 02124-3510
Phone (617) 825-9660
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mattapan Community Health Center Inc | Current | Accepting new patients | |
| Mattapan Community Health Center Inc | Past | Accepting new patients |
Locations
1575 Blue Hill Ave
Mattapan, MA 02126
Phone (617) 296-0061
Interoperability endpoints
- slucien523417@direct.ochin.org
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.
-
- Clinic/Center
- Boston, MA
- NPI 1942869342
-
- Community Health Clinic/Center
- Dorchester Center, MA
- NPI 1396808309
-
- Federally Qualified Health Center (FQHC)
- Mattapan, MA
- NPI 1639240393
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1326390642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 TREMONT ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021203432",
"telephone_number": "617-427-1000",
"fax_number": "617-858-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 TREMONT ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021203432",
"telephone_number": "617-427-1000",
"fax_number": "617-858-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIEN",
"first_name": "SOPHONIA",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-10",
"last_updated": "2023-03-07",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2262125",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2262125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110139469A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Sophonia.lucien@wshc.org",
"affiliation": "N",
"address_1": "1290 Tremont St",
"city": "Roxbury",
"state": "MA",
"country_code": "US",
"postal_code": "021203432",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.