Individual provider Active NPI

Pamela J Larocque, NP

  • Family Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1427499698
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2285106 Issued in MA
Practice address
330 Borthwick Ave Ste 308
Portsmouth, NH 03801-7112
Phone
(603) 431-5242
Fax
(603) 431-5091
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 2285106 MA Primary

Addresses

Primary practice location

330 Borthwick Ave Ste 308
Portsmouth, NH 03801-7112

Mailing address

1 Essex Center Dr
Lahey Northshore
Peabody, MA 01960-2901
Phone (978) 538-4674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc Past Accepting new patients
Lahey Clinic, Inc. Past Accepting new patients

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1427499698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ESSEX CENTER DR",
            "address_2": "LAHEY NORTHSHORE",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602901",
            "telephone_number": "978-538-4674",
            "fax_number": "978-538-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 308",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017112",
            "telephone_number": "603-431-5242",
            "fax_number": "603-431-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCQUE",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2285106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.