Active NPI
Lisa Lincoln, NP
- Family Nurse Practitioner
- Sudbury, MA
National Provider Identifier
1972234581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2308374
- Practice address
- 29 Hudson Rd Ste 3310
Sudbury, MA 01776-1753 - Phone
- (978) 443-8810
- Fax
- (978) 443-8839
- NPI assigned
- Jun 23, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2308374 | MA | Primary |
Addresses
Primary practice location
29 Hudson Rd Ste 3310
Sudbury, MA 01776-1753
Mailing address
171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110192529A | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lincoln.Lisa.CRM@direct.partners.masshiway.net |
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
- Credentials
- Nurse Practitioner
Interoperability endpoints
- lincoln.lisa.crm@direct.partners.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1972234581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MAIN ST STE 203B",
"city": "ASHLAND",
"state": "MA",
"postal_code": "017211187",
"telephone_number": "508-881-3029",
"fax_number": "508-881-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 HUDSON RD STE 3310",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761753",
"telephone_number": "978-443-8810",
"fax_number": "978-443-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINCOLN",
"first_name": "LISA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2308374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110192529A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Lincoln.Lisa.CRM@direct.partners.masshiway.net",
"affiliation": "N",
"address_1": "29 Hudson Rd Ste 3310",
"city": "Sudbury",
"state": "MA",
"country_code": "US",
"postal_code": "017761753",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sudbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.