Individual provider Active NPI

Chau Bao Thi Le, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • North Chelmsford, MA
National Provider Identifier
1871969535
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2280658 Issued in MA
Practice address
10 Adams St
North Chelmsford, MA 01863-1780
Phone
(978) 251-3159
Fax
(978) 251-0636
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN2280658 MA Primary

Addresses

Primary practice location

10 Adams St
North Chelmsford, MA 01863-1780

Mailing address

10 Adams St
North Chelmsford, MA 01863-1780
Phone (978) 251-3159

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
I20151008002881 MA Practitioner - Nurse Practitioner 7517275647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chelmsford Family Practice, PCGroup PAC ID 7113997396, 11 clinicians

Practice addresses (Care Compare)

10 Adams St
North Chelmsford, MA 01863-1780
Phone (978) 251-3159

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2280658MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford Family Practice, PC CurrentSince Aug 31, 2020 Accepting new patients

Locations

10 Adams St
North Chelmsford, MA 01863
Phone (978) 251-3159

Interoperability endpoints

  • Direct secure messaging: cle53542@tuftsmedicine.direct-ci.com

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 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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1871969535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ADAMS ST",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631780",
            "telephone_number": "978-251-3159",
            "fax_number": "978-251-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ADAMS ST",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631780",
            "telephone_number": "978-251-3159",
            "fax_number": "978-251-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CHAU",
        "middle_name": "BAO THI",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2280658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.