Individual provider Active NPI

Courtney Eileen Damick, FNP

  • Family Nurse Practitioner
  • Amesbury, MA
National Provider Identifier
1558645622
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN264208 Issued in MA
Practice address
24 Morrill PL
Lahey Health Primary Care, Amesbury
Amesbury, MA 01913-3530
Phone
(978) 388-5050
Fax
(978) 388-4035
NPI assigned
Oct 6, 2011
Last updated
May 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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 RN264208 MA Primary

Addresses

Primary practice location

24 Morrill PL
Lahey Health Primary Care, Amesbury
Amesbury, MA 01913-3530

Mailing address

24 Morrill PL
Lahey Health Primary Care, Amesbury
Amesbury, MA 01913-3530
Phone (978) 388-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160628002373 MA Practitioner - Nurse Practitioner 6901197508 Reassigns benefits to 2 organizations
I20230503001564 NH Practitioner - Nurse Practitioner 6901197508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

29 Stiles Rd
Suite 301
Salem, NH 03079-5802
Phone (603) 870-5452

464 Hillside Ave
Suite 302
Needham, MA 02494-1228
Phone (781) 449-5170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN264208MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc CurrentSince Jun 6, 2016 Accepting new patients
Medical Care of Boston Management Corporation CurrentSince Oct 1, 2022 Accepting new patients

Locations

24 Morrill Pl
Amesbury, MA 01913
Phone (978) 388-5050

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

464 Hillside Ave
Ste 302
Needham, MA 02494
Phone (781) 444-1129

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

29 Stiles Rd
Ste 301
Salem, NH 03079
Phone (603) 870-5452

570 Lafayette Rd
Seabrook, NH 03874

570 Lafayette Rd
Unit 901
Seabrook, NH 03874

Interoperability endpoints

  • Direct secure messaging: cdamick78161@direct.bilh.masshiway.net

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, 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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1558645622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MORRILL PL",
            "address_2": "LAHEY HEALTH PRIMARY CARE, AMESBURY",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019133530",
            "telephone_number": "978-388-5050",
            "fax_number": "978-388-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MORRILL PL",
            "address_2": "LAHEY HEALTH PRIMARY CARE, AMESBURY",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019133530",
            "telephone_number": "978-388-5050",
            "fax_number": "978-388-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICK",
        "first_name": "COURTNEY",
        "middle_name": "EILEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN264208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

Verify at the official NPI Registry.