Individual provider Active NPI

Nancy M Le, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, MA
National Provider Identifier
1649338716
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
138523 Issued in MA
Practice address
105 Webster St
Ste 8
Hanover, MA 02339-1227
Phone
(781) 754-6545
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN138253 MA
Nurse Practitioner 363L00000X RN138253 MA
Neuroscience Clinical Nurse Specialist 364SN0800X RN138253 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 138523 MA Primary

Addresses

Primary practice location

105 Webster St
Ste 8
Hanover, MA 02339-1227

Mailing address

105 Webster St
Ste 8
Hanover, MA 02339-1227
Phone (781) 754-6545

Other identifiers 1

IdentifierTypeStateIssuer
0347761MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN138253MAMDGerontology Nurse Practitioner
138523MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Insight Inc Psychiatric/Mental Health CurrentSince Apr 25, 2021 Accepting new patients
Nova Psychiatric Services, PC PastSince Apr 3, 2022 Accepting new patients
Nova Psychiatric Service Past Accepting new patients

Locations

105 Webster St
Ste 8
Hanover, MA 02339
Phone (781) 312-7457

Organizations & group practices 3

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1649338716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEBSTER ST",
            "address_2": "STE 8",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391227",
            "telephone_number": "781-754-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEBSTER ST",
            "address_2": "STE 8",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391227",
            "telephone_number": "781-754-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN138253",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN138253",
            "primary": false
        },
        {
            "code": "364SN0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neuroscience",
            "state": "MA",
            "license": "RN138253",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "138523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347761",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.