Dorothy Haverty-Bussiere, NP-C

Key facts

NPI

1346558491

Entity type

Individual (NPI type 1)

Primary specialty

Adult Health Nurse Practitioner 363LA2200X

License

RN217422 (MA)

Practice address

411 Merrimack St
104
Methuen, MA 01844-5821

Phone

(978) 685-5627

NPI assigned

Sep 22, 2010

Sex

Female

Sole proprietor

No

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.

• Salem New Hampshire Physicians Network PC Internal Medicine Physician · Salem, NH · NPI 1770519969
  Medicare reassignment NPD MA
• Steward Medical Group, Inc Specialist · Watertown, MA · NPI 1629398219
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Mrs. Dorothy Haverty Bussiere Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 22, 2010.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1346558491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030763722",
            "telephone_number": "603-635-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MERRIMACK ST",
            "address_2": "104",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445821",
            "telephone_number": "978-685-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERTY-BUSSIERE",
        "first_name": "DOROTHY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN217422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "BUSSIERE",
            "middle_name": "HAVERTY",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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All providers in Methuen, MA · Adult Health Nurse Practitioner in Massachusetts