Individual provider Active NPI

Lauren N Tajima, CPNP

  • Pediatric Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1780875922
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
267636 Issued in MA
Practice address
480 Maple St Ste 3a
Danvers, MA 01923-4067
Phone
(978) 406-4234
Fax
(978) 921-2968
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 267636 MA Primary

Addresses

Primary practice location

480 Maple St Ste 3a
Danvers, MA 01923-4067

Mailing address

480 Maple St Ste 3a
Danvers, MA 01923-4067
Phone (978) 406-4234

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
I20230710001225 MA Practitioner - Nurse Practitioner 0244699254 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc CurrentSince Nov 13, 2023 Accepting new patients
Pentucket Medical Associates, LLC Current Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Nov 13, 2023 Accepting new patients
Atrius Health, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jan 1, 2026 Accepting new patients
Atrius Health, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Atrius Health, Inc. Current Accepting new patients
SS Peds PastSince Aug 15, 2021 Accepting new patients
North Shore Pediatrics, PC PastSince Aug 15, 2021 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

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

Interoperability endpoints

  • Direct secure messaging: ltajimanp371916@direct.atrius.masshiway.net
  • Direct secure messaging: tajima.lauren.pma@direct.partners.masshiway.net

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1780875922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST STE 3A",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234067",
            "telephone_number": "978-406-4234",
            "fax_number": "978-921-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST STE 3A",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234067",
            "telephone_number": "978-406-4234",
            "fax_number": "978-921-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJIMA",
        "first_name": "LAUREN",
        "middle_name": "N",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "267636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.