Channing Lacey Norrman, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2288189 Issued in MA

Practice address

15 Old West Elm St
Pembroke, MA 02359-1731

Phone

(781) 718-7435

NPI assigned

May 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Rohit Rattan MD PLLC

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1780396937
  Medicare reassignment
• North River Hospice LLC

  • Community Based Hospice Care Agency
  • Norwell, MA
  • NPI 1194367086
  NPD
• Pembroke Medical Associates Inc

  • Internal Medicine Physician
  • Pembroke, MA
  • NPI 1194332759
  NPD

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1386333680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020612050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OLD WEST ELM ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591731",
            "telephone_number": "781-718-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRMAN",
        "first_name": "CHANNING",
        "middle_name": "LACEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2288189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina R Nelson
• Gianna Lee Nettis, PMHNP-BC
• New England Village Inc
• New England Village Inc
• New Moon Counseling Inc
• Kevin Noyes, DO
• Kari Beth O'Briant, MT-BC
• Amy M O'Connor, MS, OTR/L
• Joy K O'Keeffe, D.M.D.
• Cristin Oconnell

• Family Nurse Practitioner in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.