Individual provider Active NPI

Laura Clubb

  • Family Nurse Practitioner
  • Greenfield, MA
National Provider Identifier
1558847707
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN277301 Issued in MA
Practice address
1 Arch PL Ste 2
Greenfield, MA 01301-2457
Phone
(413) 225-2792
Fax
(413) 775-9137
NPI assigned
Jul 11, 2018
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 RN277301 MA Primary

Addresses

Primary practice location

1 Arch PL Ste 2
Greenfield, MA 01301-2457

Mailing address

1 Arch PL Ste 2
Greenfield, MA 01301-2457
Phone (413) 225-2792

Other identifiers 1

IdentifierTypeStateIssuer
RN277301OtherMAAPRN

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
I20181030001214 MA Practitioner - Nurse Practitioner 0749533271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greenfield Primary Care PLLCGroup PAC ID 6204241235, 7 clinicians

Practice addresses (Care Compare)

55 Federal St
Suite 220
Greenfield, MA 01301-2592
Phone (413) 225-2792

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greenfield Primary Care PLLC CurrentSince Jan 1, 2023 Accepting new patients
Bridge Rehab LLC PastSince Apr 1, 2025 Accepting new patients

Locations

1 Arch Pl
Ste 1
Greenfield, MA 01301
Phone (413) 225-2792

1 Arch Pl
Ste 2
Greenfield, MA 01301
Phone (413) 773-5090

55 Federal St
Greenfield, MA 01301
Phone (413) 772-2935

55 Federal St
Ste 220
Greenfield, MA 01301
Phone (413) 225-2792

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24855/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.clubb.1@24855.direct.athenahealth.com

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 7

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1558847707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARCH PL STE 2",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012457",
            "telephone_number": "413-225-2792",
            "fax_number": "413-775-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARCH PL STE 2",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012457",
            "telephone_number": "413-225-2792",
            "fax_number": "413-775-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUBB",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN277301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "RN277301",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.