NPIMap

Individual provider Active NPI

Courtney Nicole Soares, FNP

  • Family Nurse Practitioner
  • North Dartmouth, MA
National Provider Identifier
1972220416
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2265936 Issued in MA
Practice address
500 Faunce Corner Rd
North Dartmouth, MA 02747-1278
Phone
(508) 973-2216
Fax
(508) 973-1305
NPI assigned
Oct 25, 2022
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2265936 MA Primary

Addresses

Primary practice location

500 Faunce Corner Rd
North Dartmouth, MA 02747-1278

Mailing address

200 Mill Rd
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other practice location 1

140 Samoset St Ste 2
Plymouth, MA 02360-4802
Phone (508) 209-5362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425002147 MA Practitioner - Nurse Practitioner 9032574173 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
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 Corporation Way
Suite 180
Peabody, MA 01960-7996
Phone (978) 532-6111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Sep 1, 2024 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Jan 22, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jan 19, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Sep 1, 2024 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jun 27, 2025 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jan 19, 2023 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Jan 22, 2024 Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

500 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2216

682 Depot St
North Easton, MA 02356
Phone (508) 297-1665

2 Corporation Way
Ste 180
Peabody, MA 01960
Phone (781) 248-1766

140 Samoset St
#2
Plymouth, MA 02360
Phone (508) 209-5362

286 Washington St
Stoughton, MA 02072
Phone (781) 341-2800

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Interoperability endpoints

  • Direct secure messaging: soares.courtney.nsmc@direct.partners.masshiway.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1972220416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAUNCE CORNER RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471278",
            "telephone_number": "508-973-2216",
            "fax_number": "508-973-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Samoset St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604802",
            "country_code": "US",
            "telephone_number": "508-209-5362",
            "fax_number": "508-209-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOARES",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2265936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.