Individual provider Active NPI

Louise C Dobkins, ANP-BC

  • Adult Health Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1790921609
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN237840 Issued in MA
Practice address
179 Quincy St Ste 2
Brockton, MA 02302-2966
Phone
(508) 283-3154
Fax
(833) 450-5159
NPI assigned
Dec 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 APRN03444 RI
Adult Health Nurse Practitioner 363LA2200X RN237840 MA Primary
Nurse Practitioner 363L00000X AP60070033 WA

Addresses

Primary practice location

179 Quincy St Ste 2
Brockton, MA 02302-2966

Mailing address

8 Simmons Rd
Barrington, RI 02806-2508
Phone (253) 709-7431

Other practice location 1

50 Boston St
Lynn, MA 01904-2538
Phone (781) 342-4191

Other practice location 2

72 Pine St Fl 2
Providence, RI 02903-2846
Phone (401) 454-6625

Other practice location 3

205 Parkingway
Quincy, MA 02169
Phone (617) 820-5968

Other practice location 4

301 Columbia Rd
Boston, MA 02121-3409
Phone (617) 237-6838

Other identifiers 1

IdentifierTypeStateIssuer
1790921609MedicaidWA

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
I20231009003301 MA Practitioner - Nurse Practitioner 5890859540 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60070033WAMDNurse Practitioner
RN237840MAMDAdult Health Nurse Practitioner
APRN03444RIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Oct 2, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 2, 2023 Accepting new patients
Southcoast Physicians Group, Inc. Current Accepting new patients
Gather Health Primary Care of Massachusetts PC CurrentSince Jun 1, 2024 Accepting new patients
Atrius Health, Inc. Nurse Practitioner PastSince May 26, 2024 Accepting new patients
Springfield Hospital Inc PastSince Jun 1, 2024 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Iora Health, LLC Past Accepting new patients

Locations

179 Quincy St
Ste 2
Brockton, MA 02302
Phone (508) 283-3154

301 Columbia Rd
Dorchester, MA 02121
Phone (617) 237-6838

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

50 Boston St
Lynn, MA 01904
Phone (781) 342-4191

205 Parkingway
Quincy, MA 02169
Phone (617) 820-5968

744 E Squantum St
Quincy, MA 02171
Phone (617) 820-5968

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26984/brand/1/csg/1/fhir/r4

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": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1790921609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SIMMONS RD",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028062508",
            "telephone_number": "253-709-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 QUINCY ST STE 2",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022966",
            "telephone_number": "508-283-3154",
            "fax_number": "833-450-5159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Boston St",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019042538",
            "country_code": "US",
            "telephone_number": "781-342-4191",
            "fax_number": "833-450-5157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 Pine St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032846",
            "country_code": "US",
            "telephone_number": "401-454-6625",
            "fax_number": "401-454-6628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 PARKINGWAY",
            "address_purpose": "LOCATION",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "country_code": "US",
            "telephone_number": "617-820-5968",
            "fax_number": "833-471-5603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021213409",
            "country_code": "US",
            "telephone_number": "617-237-6838",
            "fax_number": "833-450-5158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBKINS",
        "first_name": "LOUISE",
        "middle_name": "C",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-23",
        "last_updated": "2024-05-23",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN03444",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN237840",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60070033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790921609",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.