Lisa Devine Coughlin, NP
Individual provider Active NPI Family Nurse Practitioner · Leeds, MA
NPI 1487090627 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1487090627
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN264995 (MA)
- Practice address
- 421 N Main St
Leeds, MA 01053-9764 - Phone
- (413) 584-4040
- NPI assigned
- May 15, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150413000277 | TX | Practitioner - Nurse Practitioner | 6103144746 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Current |
Accepting new patients | |
| DHHS IHS Phoenix Area | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN264995 | MA | Yes |
Addresses
Primary practice location
421 N Main St
Leeds, MA 01053-9764
Mailing address
421 N Main St
Leeds, MA 01053-9764
Phone (413) 584-4040
Other names
- Lisa Marie Devine
Other providers in Leeds, MA
- Adrian Thomas Colombani
- Janice Cooper
- Sharon M Corliss
- Scott Cardon Cornelius
- Pamela Cotillo
- Myrna P Cronen
- Hillary Cronin
- Robert S Cross
- Deborah Crossman
- Dylan Cullen
All providers in Leeds, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.