Individual provider Active NPI

Luisa C Fertitta, OGNP

  • Women's Health Nurse Practitioner
  • Lexington, MA
National Provider Identifier
1871560417
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
116474 Issued in MA
Practice address
5 Woodpark Cir
Lexington, MA 02421-7207
Phone
(781) 861-7613
Fax
(781) 862-9240
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 116474 MA Primary

Addresses

Primary practice location

5 Woodpark Cir
Lexington, MA 02421-7207

Mailing address

5 Woodpark Cir
Lexington, MA 02421-7207
Phone (781) 861-7613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871560417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WOODPARK CIR",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217207",
            "telephone_number": "781-861-7613",
            "fax_number": "781-862-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WOODPARK CIR",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217207",
            "telephone_number": "781-861-7613",
            "fax_number": "781-862-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERTITTA",
        "first_name": "LUISA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "OGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "116474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.