Individual provider Active NPI

Brenda L Lovely, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NH
National Provider Identifier
1619520210
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
056503-23 Issued in NH
Practice address
70 Commercial St Ste 200
Concord, NH 03301-5094
Phone
(603) 689-7890
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 056503-23 NH Primary

Addresses

Primary practice location

70 Commercial St Ste 200
Concord, NH 03301-5094

Mailing address

3 John Hardie Way
Chichester, NH 03258-2100
Phone (603) 856-3905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20191007001398 NH Practitioner - Nurse Practitioner 4981935939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Main St
Nashua, NH 03064-2716

1145 Sagamore Ave
Portsmouth, ME 03801

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

PO Box
Suite 2032
Concord, NH 03302-2032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc CurrentSince Nov 4, 2024 Accepting new patients
Seacoast Mental Health Center, Inc. CurrentSince Aug 11, 2019 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

70 Commercial St
Ste 200
Concord, NH 03301
Phone (603) 263-8650

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

1145 Sagamore Ave
Portsmouth, NH 03801
Phone (603) 431-6703

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.brendalovely@140126.advancedmd-direct.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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1619520210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JOHN HARDIE WAY",
            "city": "CHICHESTER",
            "state": "NH",
            "postal_code": "032582100",
            "telephone_number": "603-856-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 COMMERCIAL ST STE 200",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015094",
            "telephone_number": "603-689-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELY",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "056503-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.