Active NPI
Lisa J Pugh, NP
- Acute Care Nurse Practitioner
- Saugus, MA
National Provider Identifier
1821055773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 197514
- Practice address
- 999 Broadway Ste 101-I
Saugus, MA 01906-4521 - Phone
- (781) 832-0035
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 197514 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | 197514 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 197514 | MA | |
| Acute Care Nurse Practitioner | 363LA2100X | 197514 | MA | Primary |
Addresses
Primary practice location
999 Broadway Ste 101-I
Saugus, MA 01906-4521
Mailing address
999 Broadway Ste 101-I
Saugus, MA 01906-4521
Phone (781) 832-0035
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39158 | Other | MA | HARVARD PILGRIM |
| 0374971 | Medicaid | MA | |
| NP3032 | Other | MA | BLUE CROSS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Hospital Corp | Current | Accepting new patients |
Interoperability endpoints
- pugh.lisa.mgh@direct.partners.masshiway.net
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1821055773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 BROADWAY STE 101-I",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019064521",
"telephone_number": "781-832-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 BROADWAY STE 101-I",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019064521",
"telephone_number": "781-832-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "LISA",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "197514",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "197514",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "197514",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MA",
"license": "197514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "39158",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0374971",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "NP3032",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saugus, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.