Individual provider Active NPI

Joy Elizabeth Lewis O'Brien, FNP-BC

  • Family Nurse Practitioner
  • Concord, MA
National Provider Identifier
1578841185
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2264263 Issued in MA
Practice address
575 Virginia Rd Ste 102
Concord, MA 01742-2761
Phone
(978) 440-1134
NPI assigned
Jul 31, 2011
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2264263 MA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2264263 MA

Addresses

Primary practice location

575 Virginia Rd Ste 102
Concord, MA 01742-2761

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

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
I20111215000191 MA Practitioner - Nurse Practitioner 9436324712 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2264263MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DBT Works CurrentSince Sep 29, 2024 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Jun 15, 2020 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jun 15, 2020 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Nov 15, 2021 Accepting new patients
Mental Health Specialty Group PA CurrentSince Sep 1, 2025 Accepting new patients
Starboard Integrative Psychiatry, LLC Current Accepting new patients
Mass General Brigham Community Physicians Inc. Current Accepting new patients

Locations

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

185 Dartmouth St
Ste 603
Boston, MA 02116
Phone (617) 224-5351

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

53 State St
Ste 106
Boston, MA 02109

575 Virginia Rd
Ste 102
Concord, MA 01742
Phone (978) 440-1134

300 Needham St
Ste 1B
Newton, MA 02464
Phone (860) 751-4339

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

Interoperability endpoints

  • Direct secure messaging: jobrien38997@direct.chppoc.masshiway.net

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1578841185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 VIRGINIA RD STE 102",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422761",
            "telephone_number": "978-440-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JOY",
        "middle_name": "ELIZABETH LEWIS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2264263",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2264263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.