Megan Michelle Dussault, LPN

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

LN99702 Issued in MA

Practice address

34 Gifford St
New Bedford, MA 02744-2610

Phone

(508) 999-3126

Fax

(508) 717-0352

NPI assigned

Mar 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1649038241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GIFFORD ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027442610",
            "telephone_number": "508-999-3126",
            "fax_number": "508-717-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GIFFORD ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027442610",
            "telephone_number": "508-999-3126",
            "fax_number": "508-717-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSSAULT",
        "first_name": "MEGAN",
        "middle_name": "MICHELLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MA",
            "license": "LN99702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Laura Duquenoy, COTA/L
• Cameron Durant
• Briana Michelle Duren
• Marykate Durette-Piccirillo, CNM
• Kelley Anne Dussault
• Eleanor Eager
• Jessica Christine Eagles
• Paige Eastman, C.P.M.
• Juana Edmond
• Kaitlyn Egan, CNM

• Addiction Medicine (Preventive Medicine) Physician in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Addiction Medicine (Preventive Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.