Active NPI
Linda Brisebois, NP
- Family Nurse Practitioner
- Leominster, MA
National Provider Identifier
1467666107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 115127
- Practice address
- 60 Hospital Rd
Department Take Charge
Leominster, MA 01453-2205 - Phone
- (978) 466-2060
- Fax
- (978) 466-2065
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 115127 | MA | Primary |
Addresses
Primary practice location
60 Hospital Rd
Department Take Charge
Leominster, MA 01453-2205
Mailing address
10 Ragged Hill Rd
Hubbardston, MA 01452-1622
Phone (978) 928-4214
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115127 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467666107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 RAGGED HILL RD",
"city": "HUBBARDSTON",
"state": "MA",
"postal_code": "014521622",
"telephone_number": "978-928-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HOSPITAL RD",
"address_2": "DEPARTMENT TAKE CHARGE",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532205",
"telephone_number": "978-466-2060",
"fax_number": "978-466-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISEBOIS",
"first_name": "LINDA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "115127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.