Individual provider Active NPI

Hanane Taha

  • Psychiatric/Mental Health Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1972068591
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2263434 Issued in MA
Practice address
242 Sutton St
North Andover, MA 01845-1631
Phone
(978) 655-1987
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X RN2263434 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2263434 MA Primary

Addresses

Primary practice location

242 Sutton St
North Andover, MA 01845-1631

Mailing address

46 Autumn Rd
Dracut, MA 01826-1675
Phone (617) 347-7012

Other practice location 1

800 Essex St
Lawrence, MA 01841-4617
Phone (978) 686-2994

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
I20240125001859 MA Practitioner - Nurse Practitioner 3779936836 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colony Care IncGroup PAC ID 0042282055, 29 clinicians

Practice addresses (Care Compare)

101 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700

11 River St
Wellesley, MA 02481-2098
Phone (781) 431-1177

161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700

22 Mill St
Arlington, MA 02476-4744
Phone (781) 431-1177

85 Patton Rd
Devens, MA 01434-4401
Phone (978) 615-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2263434MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell Community Health Center, Inc. CurrentSince Dec 13, 2023 Accepting new patients
Devens Treatment & Recovery Center, LLC Psychiatric/Mental Health CurrentSince Apr 30, 2024 Accepting new patients
Wellmind Behavioral Health LLC Psychiatric/Mental Health CurrentSince Oct 6, 2025 Accepting new patients
Lowell Community Health Center, Inc. CurrentSince Dec 13, 2023 Accepting new patients
Colony Care Inc CurrentSince May 1, 2024 Accepting new patients
Access Primary Care Inc PastSince Jun 27, 2012 Accepting new patients

Locations

19 Midstate Dr
Ste 110
Auburn, MA 01501

85 Patton Rd
Devens, MA 01434
Phone (978) 615-5200

101 Jackson St
Lowell, MA 01852
Phone (978) 459-8656

161 Jackson St
Lowell, MA 01852
Phone (978) 746-7867

11 River St
Wellesley Hills, MA 02481
Phone (781) 237-7979

11 River St
Ste 1
Wellesley Hls, MA 02481
Phone (508) 695-7447

Interoperability endpoints

  • Direct secure messaging: htaha45277@direct.ctc.masshiway.net

Organizations & group practices 6

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1972068591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 AUTUMN RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261675",
            "telephone_number": "617-347-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 SUTTON ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451631",
            "telephone_number": "978-655-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Essex St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018414617",
            "country_code": "US",
            "telephone_number": "978-686-2994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHA",
        "first_name": "HANANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "RN2263434",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2263434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.