NPIMap

Individual provider Active NPI

Hajar Houmani, APRN, AGACNP-BC

  • Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1710507827
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2319683 Issued in MA
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 334-0238
Fax
(508) 856-4485
NPI assigned
Apr 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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 RN2319683 MA Primary

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528001317 MA Practitioner - Nurse Practitioner 9032530175 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
360 Healthcare LLCGroup PAC ID 5597131532, 30 clinicians
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

Practice addresses (Care Compare)

10 Mall Rd
Suite 305
Burlington, MA 01803-4121
Phone (781) 488-6843

250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heywood Medical Group Inc. Nurse Practitioner CurrentSince Nov 14, 2024 Accepting new patients
Sound Physicians of Massachusetts, Inc Nurse Practitioner CurrentSince May 1, 2020 Accepting new patients
Umass Memorial Medical Group Inc Nurse Practitioner CurrentSince Sep 27, 2021 Accepting new patients
Sound Physicians of Massachusetts Inc Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Sep 27, 2021 Accepting new patients
Athol Memorial Hospital Incorporated Nurse Practitioner CurrentSince Nov 14, 2024 Accepting new patients
Sound Physicians of Massachusetts Inc CurrentSince May 1, 2020 Accepting new patients
Heywood Affiliated Medical Group Inc. CurrentSince Nov 14, 2024 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

242 Green St
Ste 205
Gardner, MA 01440

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

Interoperability endpoints

  • Direct secure messaging: hajar.houmani.1@192.direct.athenahealth.com

Organizations & group practices 9

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 5

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": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1710507827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-0238",
            "fax_number": "508-856-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUMANI",
        "first_name": "HAJAR",
        "credential": "APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-18",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2319683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.