Active NPI
Lauren Jennifer McMullen, NP-C
- Primary Care Nurse Practitioner
- Portsmouth, NH
National Provider Identifier
1578996948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 2264402
- Practice address
- 1600 Woodbury Ave
Portsmouth, NH 03801-3250 - Phone
- (603) 602-9070
- NPI assigned
- Aug 20, 2013
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 2264402 | MA | Primary |
Addresses
Primary practice location
1600 Woodbury Ave
Portsmouth, NH 03801-3250
Mailing address
25 New Hampshire Ave Ste 100
Portsmouth, NH 03801-2845
Phone (603) 431-2516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Aug 22, 2023 through Aug 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2264402 | MA | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- lauren.mcmullen.p1@direct.convenientmd.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1578996948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 NEW HAMPSHIRE AVE STE 100",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038012845",
"telephone_number": "603-431-2516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 WOODBURY AVE",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038013250",
"telephone_number": "603-602-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "LAUREN",
"middle_name": "JENNIFER",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "2264402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.