Individual provider Active NPI

Laurie Marr, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Walpole, MA
National Provider Identifier
1689351520
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2262998 Issued in MA
Practice address
420 Main St
Walpole, MA 02081-3753
Phone
(508) 660-1666
NPI assigned
Jul 3, 2023
Last updated
Jan 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2262998 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2262998 MA Primary

Addresses

Primary practice location

420 Main St
Walpole, MA 02081-3753

Mailing address

420 Main St
Walpole, MA 02081-3753
Phone (508) 660-1666

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
I20240205001970 MA Practitioner - Nurse Practitioner 5597108787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Hope Wellness IncorporatedGroup PAC ID 4183967474, 7 clinicians

Practice addresses (Care Compare)

1188 County St
Somerset, MA 02726-5140
Phone (508) 281-1064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2262998MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walpole Physical Therapy Services, Inc CurrentSince Jan 7, 2024 Accepting new patients
Good Hope Wellness Incorporated Psychiatric/Mental Health CurrentSince Feb 28, 2024 Accepting new patients
Boston Neurobehavioral Associates, LLC PastSince Jan 7, 2024 Accepting new patients

Locations

1188 County St
Somerset, MA 02726
Phone (508) 281-1064

420 Main St
Ste 15
Walpole, MA 02081
Phone (508) 660-1666

420 Main St
Walpole, MA 02081
Phone (508) 660-7949

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1689351520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020813753",
            "telephone_number": "508-660-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020813753",
            "telephone_number": "508-660-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARR",
        "first_name": "LAURIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2262998",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2262998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

Verify at the official NPI Registry.