Individual provider Active NPI

Heather Lynn O'Connell

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1649753302
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2261347 Issued in MA
Practice address
1254 Boylston St
Boston, MA 02215-4401
Phone
(857) 367-9322
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 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 2261347 MA Primary

Addresses

Primary practice location

1254 Boylston St
Boston, MA 02215-4401

Mailing address

1254 Boylston St
Boston, MA 02215-4401
Phone (857) 369-9322

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
I20181210000933 MA Practitioner - Nurse Practitioner 6901140508 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

12 Main St
Lakeville, MA 02347-1606
Phone (508) 973-2432

922 Highland Ave
Needham, MA 02494-1256
Phone (781) 400-1383

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2261347MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince May 1, 2023 Accepting new patients
Carewell Urgent Care Centers of Ma, PC CurrentSince Nov 1, 2024 Accepting new patients
Carbon Health Medical Group of Massachusetts PC CurrentSince Jun 1, 2024 Accepting new patients
Carewell Urgent Care Centers of Ma, P.C Current Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince May 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2019 Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince May 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2019 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince May 1, 2023 Accepting new patients

Locations

1254 Boylston St
Boston, MA 02215
Phone (508) 233-9112

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

58 Bedford St
Lexington, MA 02420
Phone (781) 538-4526

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

922 Highland Ave
Needham, MA 02494
Phone (781) 400-1383

484 Route 134
South Dennis, MA 02660
Phone (508) 694-7901

10 Ferry St
Ste 302
Concord, NH 03301

Organizations & group practices 10

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1649753302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154401",
            "telephone_number": "857-369-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154401",
            "telephone_number": "857-367-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "2261347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.