Individual provider Active NPI

Lisa M. Ledoux, NP

  • Acute Care Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1922520972
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN269919 Issued in MA
Practice address
3300 Main Street
3Rd FL, Suite C&D
Springfield, MA 01107-1112
Phone
(413) 794-5600
Fax
(413) 794-7297
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN269919 MA
Gerontology Nurse Practitioner 363LG0600X RN269919 MA
Acute Care Nurse Practitioner 363LA2100X RN269919 MA Primary

Addresses

Primary practice location

3300 Main Street
3Rd FL, Suite C&D
Springfield, MA 01107-1112

Mailing address

280 Chestnut Street
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5700

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
I20170923000451 MA Practitioner - Nurse Practitioner 2961776349 Reassigns benefits to 2 organizations

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
Hampden and Franklin County Cardiovascular Associates PCGroup PAC ID 9032153986, 20 clinicians

Practice addresses (Care Compare)

141 King St
Northampton, MA 01060-2330
Phone (413) 584-2524

146 Federal St
Greenfield, MA 01301-2511
Phone 4137742222202

22 Atwood Dr
FL 3
Northampton, MA 01060-4267
Phone (413) 584-5384

50 Maple St
Springfield, MA 01103-1979
Phone 4137486484202

65 Springfield Rd
Suite 1
Westfield, MA 01085-1884
Phone (413) 642-8052

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN269919MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jun 1, 2020 Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients
Hampden & Franklin County Cardiovascular Associates, PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

22 Atwood Dr
Ste 301
Northampton, MA 01060
Phone (413) 570-4900

22 Atwood Dr
Fl 3
Northampton, MA 01060
Phone (413) 582-1847

141 King St
Northampton, MA 01060
Phone (413) 570-9505

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

50 Maple St
Springfield, MA 01103
Phone (413) 748-6484

300 Stafford St
Ste 262
Springfield, MA 01104
Phone (413) 732-3109

65 Springfield Rd
Ste 1
Westfield, MA 01085
Phone (413) 642-8052

Interoperability endpoints

  • Direct secure messaging: ledoux.lisa.cdh@direct.partners.masshiway.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFADA

Organizations & group practices 3

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 4

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1922520972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT STREET",
            "address_2": "2ND FL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MAIN STREET",
            "address_2": "3RD FL, SUITE C&D",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071112",
            "telephone_number": "413-794-5600",
            "fax_number": "413-794-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDOUX",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN269919",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN269919",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN269919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.