Individual provider Active NPI

Karen Beth Poushter, NP

  • Family Nurse Practitioner
  • Tewksbury, MA
National Provider Identifier
1710989629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
247237 Issued in MA
Practice address
170 Main St
Williamsburg Park G-06
Tewksbury, MA 01876-1765
Phone
(978) 851-4141
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 247237 MA Primary

Addresses

Primary practice location

170 Main St
Williamsburg Park G-06
Tewksbury, MA 01876-1765

Mailing address

170 Main St
Williamsburg Park G-06
Tewksbury, MA 01876-1765

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
I20060214000637 MA Practitioner - Nurse Practitioner 2860407780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7344

600 Clark Rd
Tewksbury, MA 01876-1699
Phone (978) 851-4141

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247237MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Medical Group, Inc. CurrentSince Apr 24, 2011 Accepting new patients
Merrimack Family Medicine PC Past Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

170 Main St
Unit G06
Tewksbury, MA 01876
Phone (978) 851-4141

600 Clark Rd
Tewksbury, MA 01876
Phone (978) 452-3453

600 Clark Rd
Ste 3
Tewksbury, MA 01876
Phone (978) 851-4141

Interoperability endpoints

  • Direct secure messaging: kpoushter27045@tuftsmedicine.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710989629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MAIN ST",
            "address_2": "WILLIAMSBURG PARK G-06",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MAIN ST",
            "address_2": "WILLIAMSBURG PARK G-06",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761765",
            "telephone_number": "978-851-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUSHTER",
        "first_name": "KAREN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "247237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

Verify at the official NPI Registry.