Active NPI
Lauren Holland
- Occupational Therapist
- Somerville, MA
National Provider Identifier
1871809665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11023
- Practice address
- 5 Middlesex Avenue
Somerville, MA 02145 - Phone
- (617) 591-4653
- NPI assigned
- Aug 31, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11023 | MA | Primary |
| Occupational Therapist | 225X00000X | 3672 | CT |
Addresses
Primary practice location
5 Middlesex Avenue
Somerville, MA 02145
Mailing address
5 Middlesex Avenue
Somerville, MA 02145
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11023 | MA | MD | Clinical Psychologist |
| 3672 | CT | MD | Occupational Therapist |
| 016961 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1871809665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MIDDLESEX AVENUE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MIDDLESEX AVENUE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02145",
"telephone_number": "617-591-4653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-31",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11023",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "3672",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.