Active NPI
Stephanie Rae Larrick, WHNP-BC
- Women's Health Nurse Practitioner
- Dedham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN2371088
- Practice address
- 910 Washington St Ste 200
Dedham, MA 02026-6033 - Phone
- (781) 762-0471
- NPI assigned
- Sep 8, 2022
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN2371088 | MA | Primary |
Addresses
Primary practice location
910 Washington St Ste 200
Dedham, MA 02026-6033
Mailing address
910 Washington St Ste 200
Dedham, MA 02026-6033
Phone (781) 762-0471
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19 Bramble Bush Dr
Falmouth, MA 02540-2325
Phone (508) 540-7555
Hospital & facility affiliations
- Signature Healthcare Brockton Hospital
- Sturdy Memorial Hospital
- Spaulding Rehabilitation Hospital - Cape Cod
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2371088 | MA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gbu Bidco LLC | Current | Accepting new patients | |
| Greater Boston Urology, LLC | Current | Accepting new patients | |
| Boston Urology Institute LLC | Current | Accepting new patients | |
| Brockton Urology Clinic Inc | Current | Accepting new patients |
Locations
910 Washington St
Ste 200
Dedham, MA 02026
Phone (508) 202-4318
19 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 540-7555
161 Worcester Rd
Ste 602
Framingham, MA 01701
Phone (603) 479-4082
31 Roche Brothers Way
Ste 100
North Easton, MA 02356
Phone (508) 238-0800
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc35349_bostonurologyinstitute
- stephanielarrick@gbu.medalliesdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Dedham, MA
- NPI 1003120411
-
- Clinical Medical Laboratory
- Framingham, MA
- NPI 1336415470
-
- Urology Physician
- North Easton, MA
- NPI 1336147438
-
- Urology Physician
- Framingham, MA
- NPI 1972051977
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Signature Healthcare Brockton Hospital
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
dba Spaulding Rehabilitation Hospital - Cape Cod
- Rehabilitation Hospital
- E Sandwich, MA
- NPI 1265489736
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1588385355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 WASHINGTON ST STE 200",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266033",
"telephone_number": "781-762-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 WASHINGTON ST STE 200",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266033",
"telephone_number": "781-762-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARRICK",
"first_name": "STEPHANIE",
"middle_name": "RAE",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MA",
"license": "RN2371088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.