Active NPI
Laura Marie Leydon, FNP
- Family Nurse Practitioner
- Wareham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60251146
- Practice address
- 361 Main St
Wareham, MA 02571-2153 - Phone
- (774) 678-7319
- Fax
- (508) 291-9907
- NPI assigned
- Dec 1, 2011
- Last updated
- May 21, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2287169 | MA | |
| Family Nurse Practitioner | 363LF0000X | APRN01979 | RI | |
| Family Nurse Practitioner | 363LF0000X | AP60251146 | WA | Primary |
Addresses
Primary practice location
361 Main St
Wareham, MA 02571-2153
Mailing address
361 Main St
Wareham, MA 02571-2153
Phone (774) 678-7319
Other practice location 1
208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-2432
Other practice location 2
300 Industrial Way
Tiverton, RI 02878-3133
Phone (774) 678-7319
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lleydon33936@direct.southcoast.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
387 Quarry St
Fall River, MA 02723-1007
387 Quarry St
Fall River, MA 02723-1026
Phone (774) 627-1296
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2287169 | MA | MD | Family Nurse Practitioner |
| APRN01979 | RI | MD | Family Nurse Practitioner |
| AP60251146 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients |
Locations
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781
208 Mill Rd
Ste 100
Fairhaven, MA 02719
387 Quarry St
Ste 100
Fall River, MA 02723
Phone (508) 679-8111
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
672 Aquidneck Ave
Middletown, RI 02842
Phone (401) 847-0519
11 Friendship St
Newport, RI 02840
Phone (401) 845-1110
Interoperability endpoints
- lleydon33936@direct.southcoast.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Fall River, MA
- NPI 1962435933
-
- Adult Health Nurse Practitioner
- Wareham, MA
- NPI 1457845653
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1841568102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 MAIN ST",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025712153",
"telephone_number": "774-678-7319",
"fax_number": "508-291-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 MAIN ST",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025712153",
"telephone_number": "774-678-7319",
"fax_number": "508-291-9907"
}
],
"practiceLocations": [
{
"address_1": "208 Mill Rd",
"address_purpose": "LOCATION",
"city": "Fairhaven",
"state": "MA",
"postal_code": "027195208",
"country_code": "US",
"telephone_number": "508-973-2432",
"fax_number": "508-973-2435",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Industrial Way",
"address_purpose": "LOCATION",
"city": "Tiverton",
"state": "RI",
"postal_code": "028783133",
"country_code": "US",
"telephone_number": "774-678-7319",
"fax_number": "508-291-9907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEYDON",
"first_name": "LAURA",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2287169",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN01979",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60251146",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lleydon33936@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Physicians Group, Inc.",
"address_1": "208 Mill Rd",
"city": "Fairhaven",
"state": "MA",
"country_code": "US",
"postal_code": "027195208",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.