Individual provider Active NPI

Lucille Veronica Raia, ADVANCED NURSE PRACI

  • Nurse Practitioner
  • Norwood, MA
National Provider Identifier
1609081595
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9211153 Issued in FL
Practice address
101 Access Rd
Norwood, MA 02062-5211
Phone
(781) 551-8002
Fax
(781) 551-8004
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP152540 MA
Nurse Practitioner 363L00000X ARNP9211153 FL Primary

Addresses

Primary practice location

101 Access Rd
Norwood, MA 02062-5211

Mailing address

2152 Portofino PL
Condo # 292
Palm Harbor, FL 34683-7755
Phone (727) 692-4885

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
I20250227003578 MA Order and Referring Only - Nurse Practitioner 6800812835

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9211153FLMDNurse Practitioner
ARNP152540MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pophealthcare, LLC PastSince Feb 26, 2016 Accepting new patients

Organizations & group practices 1

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1609081595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 PORTOFINO PL",
            "address_2": "CONDO # 292",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346837755",
            "telephone_number": "727-692-4885",
            "fax_number": "508-437-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ACCESS RD",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625211",
            "telephone_number": "781-551-8002",
            "fax_number": "781-551-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIA",
        "first_name": "LUCILLE",
        "middle_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "ADVANCED NURSE PRACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "ARNP152540",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9211153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.