Individual provider Active NPI

Olivia Flores-Bourgeois

  • Psychiatric/Mental Health Nurse Practitioner
  • North Chelmsford, MA
National Provider Identifier
1790580835
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2357642 Issued in MA
Practice address
7 Technology Dr Ste 102
North Chelmsford, MA 01863-2441
Phone
(978) 677-6354
NPI assigned
Feb 13, 2025
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2357642 MA Primary

Addresses

Primary practice location

7 Technology Dr Ste 102
North Chelmsford, MA 01863-2441

Mailing address

19 High View Dr
Brookline, NH 03033-2146

Other practice location 1

790 Turnpike St Ste 107
North Andover, MA 01845-6138
Phone (978) 677-6354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN2357642MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Assured Hope Community Health LLC Psychiatric/Mental Health CurrentSince Mar 20, 2024 Accepting new patients

Locations

790 Turnpike St
Ste 107
North Andover, MA 01845
Phone (978) 677-6354

7 Technology Dr
Ste 102
North Chelmsford, MA 01863
Phone (978) 677-6354

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": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1790580835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HIGH VIEW DR",
            "city": "BROOKLINE",
            "state": "NH",
            "postal_code": "030332146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 TECHNOLOGY DR STE 102",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632441",
            "telephone_number": "978-677-6354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Turnpike St Ste 107",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018456138",
            "country_code": "US",
            "telephone_number": "978-677-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES-BOURGEOIS",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2357642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.