Individual provider Active NPI

Laurel Duffy

  • Adult Health Nurse Practitioner
  • Plymouth, MA
National Provider Identifier
1841982121
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
PENDING Issued in MA
Practice address
6 Cushman St Apt 1R
Plymouth, MA 02360-4197
Phone
(781) 974-8937
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X PENDING MA Primary

Addresses

Primary practice location

6 Cushman St Apt 1R
Plymouth, MA 02360-4197

Mailing address

6 Cushman St Apt 1R
Plymouth, MA 02360-4197

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
I20231009000557 MA Practitioner - Nurse Practitioner 8628423837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eric E Johnson MD PCGroup PAC ID 7416949961, 4 clinicians

Practice addresses (Care Compare)

45 Resnik Rd
Suite 202
Plymouth, MA 02360-4844
Phone (508) 746-1326

Hospital & facility affiliations

  • Bayada Home Health Care Inc Home health agency, Plymouth, MA, CCN 227537
  • Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGMAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Eric E Johnson MD PC CurrentSince Sep 1, 2023 Accepting new patients

Locations

45 Resnik Rd
Ste 202
Plymouth, MA 02360
Phone (508) 746-0754

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 3

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1841982121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CUSHMAN ST APT 1R",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CUSHMAN ST APT 1R",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604197",
            "telephone_number": "781-974-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "LAUREL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.