Active NPI
Tory Leif Larsen, APRN, NP
- Acute Care Nurse Practitioner
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2308024
- Practice address
- 872 Mass Ave
Apt 503
Cambridge, MA 02139-3073 - Phone
- (973) 919-4816
- NPI assigned
- Sep 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2308024 | MA | Primary |
Addresses
Primary practice location
872 Mass Ave
Apt 503
Cambridge, MA 02139-3073
Mailing address
872 Mass Ave
Apt 503
Cambridge, MA 02139-3073
Phone (973) 919-4816
Other practice location 1
725 Albany St, Suite 7B
Shapiro Bldg
Boston, MA 02118
Phone (617) 638-8456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110122144A | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lahey Clinic Inc
Practice addresses (Care Compare)
29 Mall Rd
Burlington, MA 01805-0001
41 Highland Ave
Winchester, MA 01890-1446
Phone (781) 729-9000
41 Mall Rd
Burlington, MA 01805-0001
Hospital & facility affiliations
- Lahey Hospital & Medical Center, Burlington
- Northeast Hospital Corporation
- Winchester Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2308024 | MA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Boston University Neurology Associates, Inc. | Current | Accepting new patients | |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Current | Accepting new patients |
Locations
725 Albany St
Ste 7
Boston, MA 02118
Phone (617) 638-8456
725 Albany St
Ste 7B
Boston, MA 02118
Phone (617) 638-7490
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
Interoperability endpoints
- tlarsen86286@direct.bilh.masshiway.net
- tlarsen96542@direct.bmc.masshiway.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Neurology Physician
- Boston, MA
- NPI 1528005436
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1669920179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "872 MASS AVE",
"address_2": "APT 503",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393073",
"telephone_number": "973-919-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 MASS AVE",
"address_2": "APT 503",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393073",
"telephone_number": "973-919-4816"
}
],
"practiceLocations": [
{
"address_1": "725 Albany St, Suite 7B",
"address_2": "Shapiro Bldg",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02118",
"country_code": "US",
"telephone_number": "617-638-8456",
"fax_number": "617-638-8465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSEN",
"first_name": "TORY",
"middle_name": "LEIF",
"name_prefix": "Mr.",
"credential": "APRN, NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-13",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MA",
"license": "2308024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110122144A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.