Guovana Aboukhater, RN, MSN, NP-C
Individual provider Active NPI Internal Medicine Physician · Haverhill, MA
NPI 1780347252 · NPPES record last updated Oct 20, 2021
Key facts
- NPI
- 1780347252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- RN2355477 (MA)
- Practice address
- 44 Strathmore Rd
Haverhill, MA 01832-3732 - Phone
- (978) 389-0309
- NPI assigned
- Oct 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- LGH Professional Services LLC
Practice addresses (Care Compare)
20 Research PL
Suite 310
North Chelmsford, MA 01863-2455
Phone (978) 459-2152
Hospital & facility affiliations
- Lowell General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220609002607 | MA | Practitioner - Nurse Practitioner | 8123406774 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2355477 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LGH Professional Services LLC | Internal Medicine | Current |
Accepting new patients |
| LGH Medical Group, Inc. | Past | Accepting new patients |
Locations
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
20 Research Pl
Ste 310
North Chelmsford, MA 01863
Phone (978) 459-2152
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | RN2355477 | MA | Yes |
Addresses
Primary practice location
44 Strathmore Rd
Haverhill, MA 01832-3732
Mailing address
44 Strathmore Rd
Haverhill, MA 01832-3732
Phone (978) 389-0309
Other providers in Haverhill, MA
- 1976 Stevens-Bennet Home Inc
- A Blue Sky Mental Health and Wellness, LLC
- Lindsey Morgan Abate
- Michael J Abele
- Alaa Ahmed Abougamra
- John Aboukhater
- Kisleiny Abreu
- Kathleen Dolores Absalom
- Anita Acevedo
- Achieve Wellness, LLC
All providers in Haverhill, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.