Individual provider Active NPI

Elizabeth Rose Lavender, AGNP, PMHNP

  • Adult Health Nurse Practitioner
  • Barnstable, MA
National Provider Identifier
1780015446
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
224262 Issued in MA
Practice address
PO Box 1083
Barnstable, MA 02630-2083
Phone
(774) 209-2291
Fax
(628) 246-8288
NPI assigned
Dec 6, 2013
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 224262 MA Primary
Gerontology Nurse Practitioner 363LG0600X 224262 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN224262 MA

Addresses

Primary practice location

PO Box 1083
Barnstable, MA 02630-2083

Mailing address

PO Box 1083
Barnstable, MA 02630-2083
Phone (774) 209-2291

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
I20150810000166 MA Practitioner - Nurse Practitioner 1254645914 Practice locations: South Dennis, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Health Services IncGroup PAC ID 0345146213, shared by 4 NPIs, 56 clinicians

Practice addresses (Care Compare)

735 Attucks LN
Hyannis, MA 02601-1867
Phone (508) 778-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224262MAMDGerontology Nurse Practitioner
RN224262MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Services, Inc. CurrentSince Sep 23, 2024 Accepting new patients

Locations

250 Mount Vernon St
Dorchester, MA 02125
Phone (617) 288-1140

10 Cordage Park Cir
Ste 115
Plymouth, MA 02360
Phone (508) 778-5470

Interoperability endpoints

  • Direct secure messaging: egallagher322384@direct.ochin.org

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": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1780015446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1083",
            "city": "BARNSTABLE",
            "state": "MA",
            "postal_code": "026302083",
            "telephone_number": "774-209-2291",
            "fax_number": "628-246-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1083",
            "city": "BARNSTABLE",
            "state": "MA",
            "postal_code": "026302083",
            "telephone_number": "774-209-2291",
            "fax_number": "628-246-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "ELIZABETH ROSE",
        "credential": "AGNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "224262",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "224262",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN224262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnstable, MA

Sources for this page

Verify at the official NPI Registry.