Individual provider Active NPI

Laura Marie Leydon, FNP

  • Family Nurse Practitioner
  • Wareham, MA
National Provider Identifier
1841568102
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60251146 Issued in WA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address lleydon33936@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131118001525 MA Practitioner - Nurse Practitioner 5890942262 Reassigns benefits to 3 organizations
I20190419000065 RI Practitioner - Nurse Practitioner 5890942262 Reassigns benefits to 1 organization

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
Healthfirst Family Care Center IncGroup PAC ID 0042120297, 25 clinicians

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

LicenseStateTypeSpecialty
RN2287169MAMDFamily Nurse Practitioner
APRN01979RIMDFamily Nurse Practitioner
AP60251146WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Jul 24, 2017 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 24, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.