Individual provider Active NPI

Laurice M Canning, ACNP-BC

  • Acute Care Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1639450141
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN 214836 Issued in MA
Practice address
31 Candlestick Road
North Andover, MA 01845-3235
Phone
(978) 688-9842
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN 214836 MA Primary

Addresses

Primary practice location

31 Candlestick Road
North Andover, MA 01845-3235

Mailing address

31 Candlestick Rd
North Andover, MA 01845-3235
Phone (978) 688-9842

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
I20161005001847 MA Practitioner - Nurse Practitioner 5496043523 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence General Hospital 124 clinicians
Incare LLC 62 clinicians

Practice addresses (Care Compare)

1 General St
Lawrence, MA 01841-2961
Phone 97868340002979

70 E St
Methuen, MA 01844-4597
Phone (781) 600-7599

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 214836MAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence General Hospital CurrentSince Aug 19, 2016 Accepting new patients
Lawrence General Hospital CurrentSince Aug 19, 2016 Accepting new patients
Incare Tufts PLLC CurrentSince Aug 25, 2025 Accepting new patients
Incare LLC CurrentSince Feb 1, 2019 Accepting new patients
General Primary Care of Lawrence Past Accepting new patients

Locations

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

145 Ward Hill Ave
Haverhill, MA 01835
Phone (978) 258-4734

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

70 East St
Methuen, MA 01844
Phone (978) 682-1906

565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1639450141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CANDLESTICK RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018453235",
            "telephone_number": "978-688-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CANDLESTICK ROAD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018453235",
            "telephone_number": "978-688-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNING",
        "first_name": "LAURICE",
        "middle_name": "M",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN 214836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.