Individual provider Active NPI

Andrea Lynne Crespo, FNP(FAMILY NURSE PRA

  • Family Nurse Practitioner
  • Lawrence, MA
National Provider Identifier
1407098403
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
207271 Issued in MA
Practice address
1 General St.
Lawrence General Hospital, Emergency Department
Lawrence, MA 01842
Phone
(978) 683-4000
Fax
(978) 946-8171
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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 207271 MA Primary

Addresses

Primary practice location

1 General St.
Lawrence General Hospital, Emergency Department
Lawrence, MA 01842

Mailing address

1 General St.
Lawrence General Hospital, Emergency Department
Lawrence, MA 01842
Phone (978) 683-4000

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
I20060119000181 MA Practitioner - Nurse Practitioner 4789608530 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207271MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jul 1, 2011 Accepting new patients
Steward Emergency Physicians, Inc CurrentSince May 11, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 1, 2011 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Organizations & group practices 3

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1407098403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST.",
            "address_2": "LAWRENCE GENERAL HOSPITAL, EMERGENCY DEPARTMENT",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01842",
            "telephone_number": "978-683-4000",
            "fax_number": "978-946-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST.",
            "address_2": "LAWRENCE GENERAL HOSPITAL, EMERGENCY DEPARTMENT",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01842",
            "telephone_number": "978-683-4000",
            "fax_number": "978-946-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "ANDREA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "FNP(FAMILY NURSE PRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "207271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.