Active NPI
Lauryn Hebert
- Family Nurse Practitioner
- Woburn, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2272616
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 082051-23 | NH | MD | Family Nurse Practitioner |
| CNPP37942 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Square Medical Group LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Watertown, MA
- NPI 1760957609
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.