Individual provider Active NPI

Amanda Coffey, FNP

  • Family Nurse Practitioner
  • Lynnfield, MA
National Provider Identifier
1376998914
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2266756 Issued in MA
Practice address
6 Kimball LN Ste 120
Lahey Health Primary Care, Lynnfield
Lynnfield, MA 01940-2667
Phone
(781) 213-4040
Fax
(781) 213-5064
NPI assigned
May 2, 2016
Last updated
Jun 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2266756 MA Primary

Addresses

Primary practice location

6 Kimball LN Ste 120
Lahey Health Primary Care, Lynnfield
Lynnfield, MA 01940-2667

Mailing address

6 Kimball LN Ste 120
Lahey Health Primary Care, Lynnfield
Lynnfield, MA 01940-2667
Phone (781) 213-4040

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
I20160727000268 MA Practitioner - Nurse Practitioner 6103119268 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1350 Market St
Lynnfield, MA 01940-4048
Phone (781) 213-4050

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2266756MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc CurrentSince Jun 27, 2016 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jun 27, 2016 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Oct 1, 2018 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

Interoperability endpoints

  • Direct secure messaging: acoffey32279@direct.bilh.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1376998914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KIMBALL LN STE 120",
            "address_2": "LAHEY HEALTH PRIMARY CARE, LYNNFIELD",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402667",
            "telephone_number": "781-213-4040",
            "fax_number": "781-213-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 KIMBALL LN STE 120",
            "address_2": "LAHEY HEALTH PRIMARY CARE, LYNNFIELD",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402667",
            "telephone_number": "781-213-4040",
            "fax_number": "781-213-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2266756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

Verify at the official NPI Registry.