Individual provider Active NPI

Lauren Mouchati, NP

  • Family Nurse Practitioner
  • Everett, MA
National Provider Identifier
1598257602
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2301050 Issued in MA
Practice address
596 Broadway
Everett, MA 02149-3743
Phone
(617) 387-3330
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN2301050 MA
Family Nurse Practitioner 363LF0000X RN2301050 MA Primary

Addresses

Primary practice location

596 Broadway
Everett, MA 02149-3743

Mailing address

77 Adams St Unit 810
Quincy, MA 02169-2032
Phone (781) 248-8358

Other practice location 1

41 Templewood Dr
Duxbury, MA 02332-2914
Phone (781) 837-2112

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
I20200414002917 MA Practitioner - Nurse Practitioner 4880024868 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John F Yee, MD, PC CurrentSince Feb 26, 2020 Accepting new patients
Healthcare South PC CurrentSince Nov 1, 2024 Accepting new patients

Locations

340 Wood Rd
Ste 101
Braintree, MA 02184
Phone (781) 803-2786

596 Broadway
Everett, MA 02149
Phone (617) 387-3330

75 Riverside Ave
Ste 3
Medford, MA 02155
Phone (617) 387-3330

75 Riverside Ave
Medford, MA 02155
Phone (781) 396-6221

56 New Driftway
Ste 301
Scituate, MA 02066
Phone (781) 383-6261

Interoperability endpoints

  • Direct secure messaging: lauren.mouchati.1@32432.direct.athenahealth.com
  • Direct secure messaging: lauren.mouchati.1@16324.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1598257602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ADAMS ST UNIT 810",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692032",
            "telephone_number": "781-248-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493743",
            "telephone_number": "617-387-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Templewood Dr",
            "address_purpose": "LOCATION",
            "city": "Duxbury",
            "state": "MA",
            "postal_code": "023322914",
            "country_code": "US",
            "telephone_number": "781-837-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUCHATI",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "RN2301050",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2301050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

Verify at the official NPI Registry.