Individual provider Active NPI

Fantasia Hughes, LPN

  • Family Nurse Practitioner
  • Lawrence, MA
National Provider Identifier
1821639725
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2356350 Issued in MA
Practice address
290 Merrimack St Ste 205
Lawrence, MA 01843-1783
Phone
(978) 655-5349
Fax
(888) 774-6221
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2356350 MA Primary

Addresses

Primary practice location

290 Merrimack St Ste 205
Lawrence, MA 01843-1783

Mailing address

290 Merrimack St Ste 205
Lawrence, MA 01843-1783
Phone (978) 655-5349

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
I20250408002871 MA Practitioner - Nurse Practitioner 2264956572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Health Quality IncGroup PAC ID 6204112139, 2 clinicians

Practice addresses (Care Compare)

290 Merrimack St
Suite 205
Lawrence, MA 01843-1783
Phone (978) 655-5349

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2356350MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Quality Inc. CurrentSince Mar 25, 2025 Accepting new patients

Locations

290 Merrimack St
Ste 205
Lawrence, MA 01843
Phone (978) 655-5349

Interoperability endpoints

  • Direct secure messaging: fantasia.hughes.1@15796.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1821639725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MERRIMACK ST STE 205",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431783",
            "telephone_number": "978-655-5349",
            "fax_number": "978-655-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MERRIMACK ST STE 205",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431783",
            "telephone_number": "978-655-5349",
            "fax_number": "888-774-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "FANTASIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2356350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.