Active NPI
Laura M O'Donnell, NP
- Nurse Practitioner
- Holyoke, MA
National Provider Identifier
1336265313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 191796
- Practice address
- 575 Beech St
Holyoke, MA 01040-2223 - Phone
- (413) 534-2543
- Fax
- (413) 534-2655
- NPI assigned
- Mar 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 191796 | MA | Primary |
Addresses
Primary practice location
575 Beech St
Holyoke, MA 01040-2223
Mailing address
27 Pomeroy Meadow Rd
Southampton, MA 01073-9449
Phone (413) 527-9103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2659 | Other | MA | BLUE CROSS |
Other names 1
- Mrs. Laura M Moynahan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191796 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Inpatient Medical Associates Inc. | Nurse Practitioner | Past | Accepting new patients |
| Accountable Care Clinical Services PC | Past | Accepting new patients | |
| Accountable Care Practice Services PC | Past | Accepting new patients | |
| Holyoke Medical Center, Inc. | Past | Accepting new patients | |
| Diversified Community Services | Past | Accepting new patients | |
| Holyoke Medical Center, Inc. | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1760731137
-
- Hospitalist Physician
- Springfield, MA
- NPI 1710235908
-
- Advanced Practice Midwife
- Holyoke, MA
- NPI 1871578880
-
- Psychiatric Hospital Unit
- Holyoke, MA
- NPI 1083776140
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Springfield, MA
- NPI 1407845282
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1336265313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 POMEROY MEADOW RD",
"city": "SOUTHAMPTON",
"state": "MA",
"postal_code": "010739449",
"telephone_number": "413-527-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 BEECH ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010402223",
"telephone_number": "413-534-2543",
"fax_number": "413-534-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "LAURA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "191796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "NP2659",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "MOYNAHAN",
"middle_name": "M",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.