Individual provider Active NPI

Yonide Lareche, NP

  • Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1639535073
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN262762 Issued in MA
Practice address
435 Shrewsbury St
Worcester, MA 01604-1689
Phone
(508) 753-5554
Fax
(508) 752-7245
NPI assigned
Jan 14, 2016
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN262762 MA Primary

Addresses

Primary practice location

435 Shrewsbury St
Worcester, MA 01604-1689

Mailing address

435 Shrewsbury St
Worcester, MA 01604-1689
Phone (508) 753-5554

Other practice location 1

100 Cummings Ctr Ste 235C
Beverly, MA 01915-6126
Phone (978) 993-1988

Other identifiers 1

IdentifierTypeStateIssuer
110153385AMedicaidMA

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
I20191007003333 MA Practitioner - Nurse Practitioner 1254662141 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Healthcare ServicesGroup PAC ID 3779818828, 26 clinicians

Practice addresses (Care Compare)

151 Pond St
Leominster, MA 01453-3541
Phone (404) 509-2893

435 Shrewsbury St
Worcester, MA 01604-1689
Phone 5087535554110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN262762MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Services CurrentSince Oct 30, 2019 Accepting new patients
Trusty Health and Consulting Services LLC CurrentSince Feb 17, 2025 Accepting new patients
Circle Integrative Psychiatric Group CurrentSince Oct 1, 2023 Accepting new patients
RMG Home Care, Inc Past Accepting new patients
Innovative Physician Services LLC Nurse Practitioner Past Accepting new patients

Locations

435 Shrewsbury St
Worcester, MA 01604
Phone (508) 577-2017

435 Shrewsbury St
Ste 1
Worcester, MA 01604
Phone (508) 753-5554

90 Madison St
Ste 302
Worcester, MA 01608
Phone (508) 713-0297

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1639535073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SHREWSBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041689",
            "telephone_number": "508-753-5554",
            "fax_number": "508-752-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SHREWSBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041689",
            "telephone_number": "508-753-5554",
            "fax_number": "508-752-7245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cummings Ctr Ste 235C",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156126",
            "country_code": "US",
            "telephone_number": "978-993-1988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARECHE",
        "first_name": "YONIDE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN262762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110153385A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.