Taylor Christine Puddister

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2288813 Issued in MA

Practice address

145 Ward Hill Ave
Haverhill, MA 01835-6928

Phone

(978) 372-8000

NPI assigned

Aug 1, 2016

Last updated

Dec 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Incare Tufts PLLCGroup PAC ID 3072013192, 49 clinicians

Incare Lawrence, PLLCGroup PAC ID 0648678953, 20 clinicians

Incare LLCGroup PAC ID 1153658851, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
• Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
• Holy Family Hospital Hospital, Methuen, MA, CCN 220080
• Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Incare Lawrence PLLC

  • Pulmonary Disease Physician
  • North Andover, MA
  • NPI 1730765496
  Medicare reassignment Care Compare group NPD
• Incare LLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1639655467
  Medicare reassignment Care Compare group NPD
• Incare Tufts PLLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1164305611
  Medicare reassignment Care Compare group NPD
• Incare Middleton, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newburyport, MA
  • NPI 1528727526
  Medicare reassignment NPD

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

• Anna Jaques Hospital

  • General Acute Care Hospital
  • Newburyport, MA
  • NPI 1992779482
  Care Compare affiliation
• Lahey Clinic Hospital, Inc.

  • General Acute Care Hospital
  • Burlington, MA
  • NPI 1558392563
  Care Compare affiliation
• Lawrence General Hospital

  dba Merrimack Health Lawrence Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation
• LG Newcorp Inc

  dba Merrimack Health Methuen Hospital

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991
  Care Compare affiliation

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1659824209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DOLPHIN RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591305",
            "telephone_number": "617-290-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WARD HILL AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018356928",
            "telephone_number": "978-372-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDDISTER",
        "first_name": "TAYLOR",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2288813",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NH",
            "license": "068379-23",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN2288813",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "068379-21",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2288813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia M Pratt
• Preferred Pharmacy Solutions, LLC (Preferred Pharmacy Solutions Inc)
• Lisa Prendergast
• Melissa Carla Provost, LCSW
• Psycholinguistic Associates, Inc.
• Elvis M. Queliz, BACHELOR IN COMP.SCI
• Cristal Quezada
• Austin Quintal
• Kaila Rabonza, MPH, RN
• Lorraine Ragnio, LMHC

• Nurse Practitioner in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.