Individual provider Active NPI

Lauren Nicole Fitzharris, FNP-BC, CNP

  • Family Nurse Practitioner
  • Wayland, MA
National Provider Identifier
1811517329
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2358747 Issued in MA
Practice address
109 Andrew Ave Ste 101
Wayland, MA 01778-3157
Phone
(774) 777-6200
Fax
(774) 777-6260
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2358747 MA
Registered Nurse 163W00000X RN255854 GA
Family Nurse Practitioner 363LF0000X RN2358747 MA Primary

Addresses

Primary practice location

109 Andrew Ave Ste 101
Wayland, MA 01778-3157

Mailing address

109 Andrew Ave Ste 101
Wayland, MA 01778-3157
Phone (774) 777-6200

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
I20220322000114 MA Practitioner - Nurse Practitioner 9931594389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

109 Andrew Ave
Wayland, MA 01778-3156
Phone (781) 453-8450

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN255854GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Mar 1, 2022 Accepting new patients
Medical Care of Boston Management Corporation CurrentSince Mar 1, 2024 Accepting new patients
VMD Primary Providers Massachusetts PLLC CurrentSince Apr 20, 2023 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Mar 1, 2022 Accepting new patients

Locations

354 Waverley St
Framingham, MA 01702
Phone (508) 270-5700

525 Boston Post Rd E
Ste A
Marlborough, MA 01752
Phone (617) 928-8200

31 Pine St
Norfolk, MA 02056
Phone (508) 623-3700

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

109 Andrew Ave
Wayland, MA 01778
Phone (781) 453-8450

109 Andrew Ave
Ste 101
Wayland, MA 01778
Phone (781) 453-8450

115 NE Cutoff
Ste 200
Worcester, MA 01606
Phone (508) 595-0746

19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122

650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318

Interoperability endpoints

  • Direct secure messaging: lfitzharris459932@direct.bilh.masshiway.net

Organizations & group practices 4

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1811517329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ANDREW AVE STE 101",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783157",
            "telephone_number": "774-777-6200",
            "fax_number": "774-777-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ANDREW AVE STE 101",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783157",
            "telephone_number": "774-777-6200",
            "fax_number": "774-777-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZHARRIS",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "FNP-BC, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2358747",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN255854",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2358747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

Verify at the official NPI Registry.