Individual provider Active NPI

Lyndsay Canwell, RN

  • Registered Nurse
  • Cambridge, MA
National Provider Identifier
1861041071
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2320142 Issued in MA
Practice address
160 Cambridgepark Dr Unit 344
Cambridge, MA 02140-2465
Phone
(207) 441-8900
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2320142 MA Primary

Addresses

Primary practice location

160 Cambridgepark Dr Unit 344
Cambridge, MA 02140-2465

Mailing address

160 Cambridgepark Dr Unit 344
Cambridge, MA 02140-2465
Phone (207) 441-8900

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
I20200810003500 MA Practitioner - Nurse Practitioner 0941625776 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2320142MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhealth Corporation CurrentSince Jul 17, 2023 Accepting new patients

Locations

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1861041071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CAMBRIDGEPARK DR UNIT 344",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402465",
            "telephone_number": "207-441-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CAMBRIDGEPARK DR UNIT 344",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402465",
            "telephone_number": "207-441-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANWELL",
        "first_name": "LYNDSAY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2320142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.