Individual provider Active NPI

Jessica Lara, APRN

  • Family Nurse Practitioner
  • Newburyport, MA
National Provider Identifier
1447668215
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2288567 Issued in MA
Practice address
25 Highland Ave
Newburyport, MA 01950-3867
Phone
(978) 463-1000
NPI assigned
Jul 24, 2014
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 RN2288567 MA Primary

Addresses

Primary practice location

25 Highland Ave
Newburyport, MA 01950-3867

Mailing address

25 Highland Ave
Newburyport, MA 01950-3867
Phone (617) 653-1457

Other names 1

  • Jessica Lawlor Former name

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
I20141021000091 MA Practitioner - Nurse Practitioner 5092936807 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2288567MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince May 30, 2015 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Minuteclinic Diagnostic of Massachusetts LLC Family CurrentSince Sep 8, 2014 Accepting new patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221

Interoperability endpoints

  • Direct secure messaging: lawlor.jessica.bwh@direct.partners.masshiway.net

Organizations & group practices 6

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 2

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1447668215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND AVE",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503867",
            "telephone_number": "617-653-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND AVE",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503867",
            "telephone_number": "978-463-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2288567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LAWLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.