Erin D'Avella, PMHNP

Key facts

NPI

1376214932

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

403639 (NY)

Practice address

11 Quarry Hill Rd
Lee, MA 01238-9645

Phone

(413) 243-0536

Fax

(866) 614-0781

NPI assigned

Sep 23, 2021

Sex

Female

Sole proprietor

No

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.

• Community Health Programs, Inc. Federally Qualified Health Center (FQHC) · Great Barrington, MA · NPI 1013953009
  Medicare reassignment Care Compare group NPD MA
• Community Health Programs Community Health Clinic/Center · Lee, MA · NPI 1689945784
  Care Compare group NPD
• Community Health Programs, Inc. Pediatrics Physician · Pittsfield, MA · NPI 1942720214
  Care Compare group NPD
• Community Health Programs Federally Qualified Health Center (FQHC) · Great Barrington, MA · NPI 1447488358
  Care Compare group
• Community Health Programs Community Health Clinic/Center · Pittsfield, MA · NPI 1649408899
  Care Compare group
• Community Health Programs, Inc Federally Qualified Health Center (FQHC) · Adams, MA · NPI 1912272899
  Care Compare group

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Programs Inc (45 clinicians)

Practice addresses (Care Compare)

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

Interoperability endpoints

• Direct secure messaging: erin.d.avella.1@3792.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 15, 2023.

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1376214932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 TYLER ST APT M202",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014281",
            "telephone_number": "413-281-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 QUARRY HILL RD",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012389645",
            "telephone_number": "413-243-0536",
            "fax_number": "866-614-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AVELLA",
        "first_name": "ERIN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2273710",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee, MA

• Collaborative Endeavors, LLC
• Claudia Ann Colombari
• Community Health Programs
• Thomas Consolati, MD
• Robin Mary Coulehan, PSYCHOLOGIST
• Ajay R Desai, PHARMD
• Michael George Dominov, DDS
• Samuel Bismark Donkor
• Kaitlynn Drees
• Charly El-Zoghbi

All providers in Lee, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts