Individual provider Active NPI

Lauren Jennifer McMullen, NP-C

  • Primary Care Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1578996948
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2264402 Issued in MA
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

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
2264402MAMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.