Active NPI
Leisa Dwamena, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Lowell, MA
National Provider Identifier
1740169424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2296460
- Practice address
- 275 Varnum Ave Ste 208
Lowell, MA 01854-2109 - Phone
- (978) 330-6335
- Fax
- (978) 355-1002
- NPI assigned
- Aug 28, 2025
- Last updated
- Sep 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2296460 | MA | Primary |
| Registered Nurse | 163W00000X | RN2296460 | MA |
Addresses
Primary practice location
275 Varnum Ave Ste 208
Lowell, MA 01854-2109
Mailing address
275 Varnum Ave Ste 208
Lowell, MA 01854-2109
Phone (978) 330-6335
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, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
275 Varnum Ave
Suite 208
Lowell, MA 01854-2109
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2296460 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurobridge Wellness Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
275 Varnum Ave
Ste 208
Lowell, MA 01854
Phone (978) 330-6335
Organizations & group practices 1
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": "1756339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1740169424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 VARNUM AVE STE 208",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542109",
"telephone_number": "978-330-6335",
"fax_number": "978-355-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 VARNUM AVE STE 208",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542109",
"telephone_number": "978-330-6335",
"fax_number": "978-355-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWAMENA",
"first_name": "LEISA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2296460",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2296460",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.