Individual provider Active NPI

Lynne Sandell-Somes, PA-C

  • Physician Assistant
  • South Easton, MA
National Provider Identifier
1710900972
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA556 Issued in MA
Practice address
21 Bristol Dr Ste 100
South Easton, MA 02375-1199
Phone
(505) 565-7100
Fax
(508) 565-7105
NPI assigned
Jul 26, 2006
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA556 MA Primary

Addresses

Primary practice location

21 Bristol Dr Ste 100
South Easton, MA 02375-1199

Mailing address

362 N Bedford St
East Bridgewater, MA 02333-1148
Phone (508) 565-7100

Other practice location 1

320 Washington St
North Easton, MA 02357-1199
Phone (508) 565-1307

Other identifiers 1

IdentifierTypeStateIssuer
AP1430MedicaidMA

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
I20050923000721 MA Practitioner - Physician Assistant 5597799007 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
556MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Physician Assistant CurrentSince Jun 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 13, 2014 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 13, 2014 Accepting new patients
Atrius Health, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Sturdy Health, Inc. Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

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

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

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

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

21 Bristol Dr
Ste 100
South Easton, MA 02375
Phone (508) 565-7100

Organizations & group practices 7

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1710900972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 N BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331148",
            "telephone_number": "508-565-7100",
            "fax_number": "508-565-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BRISTOL DR STE 100",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751199",
            "telephone_number": "505-565-7100",
            "fax_number": "508-565-7105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Washington St",
            "address_purpose": "LOCATION",
            "city": "North Easton",
            "state": "MA",
            "postal_code": "023571199",
            "country_code": "US",
            "telephone_number": "508-565-1307",
            "fax_number": "508-565-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDELL-SOMES",
        "first_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP1430",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Easton, MA

Sources for this page

Verify at the official NPI Registry.