Individual provider Active NPI

Lauryn Hebert

  • Family Nurse Practitioner
  • Woburn, MA
National Provider Identifier
1376943746
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2272616 Issued in MA
Practice address
800 W Cummings Park Ste 1800
Woburn, MA 01801-6373
Phone
(508) 317-6612
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 082051-23 NH
Family Nurse Practitioner 363LF0000X RN2272616 MA Primary
Family Nurse Practitioner 363LF0000X CNPP37942 RI

Addresses

Primary practice location

800 W Cummings Park Ste 1800
Woburn, MA 01801-6373

Mailing address

25 Julie Dr
Concord, NH 03301-8655
Phone (508) 317-6612

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
I20240420000124 MA Practitioner - Nurse Practitioner 3678882404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Square Medical Group LLCGroup PAC ID 6608991187, 16 clinicians

Practice addresses (Care Compare)

884 Washington St
FL 2
Weymouth, MA 02189-1530
Phone (617) 916-5069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
082051-23NHMDFamily Nurse Practitioner
CNPP37942RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Square Medical Group LLC CurrentSince Mar 5, 2024 Accepting new patients
Square Medical Group LLC Past Accepting new patients

Locations

124 Watertown St
Ste 2D
Watertown, MA 02472
Phone 6179165069208

884 Washington St
Fl 1
Weymouth, MA 02189
Phone (781) 812-1643

884 Washington St
Fl 2
Weymouth, MA 02189
Phone (617) 447-2146

800 W Cummings Park
Ste 1800
Woburn, MA 01801
Phone 6179165069201

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.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1376943746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JULIE DR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018655",
            "telephone_number": "508-317-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 1800",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016373",
            "telephone_number": "508-317-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "LAURYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "082051-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2272616",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "CNPP37942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.