Individual provider Active NPI

Lucienne Lamothe, FNP, PMHNP

  • Family Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1992358576
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10190728 Issued in MA
Practice address
10 Mazzeo Dr Ste 201J
Randolph, MA 02368-3433
Phone
(508) 419-0990
Fax
(954) 405-8874
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN2259797 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025001798 MA
Family Nurse Practitioner 363LF0000X F10190728 MA Primary

Addresses

Primary practice location

10 Mazzeo Dr Ste 201J
Randolph, MA 02368-3433

Mailing address

10 Mazzeo Dr Ste 201J
Randolph, MA 02368-3433
Phone (508) 419-0990

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
I20201113000069 MA Practitioner - Nurse Practitioner 9234549650 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Mazzeo Dr
Suite 201J
Randolph, MA 02368-3433
Phone (698) 419-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2259797MAMDGeneral Practice Registered Nurse
F10190728MAMDFamily Nurse Practitioner
2025001798MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Behavioral Care of Ma LLC CurrentSince Jun 1, 2025 Accepting new patients
Massachusetts Acute Care Specialists PC CurrentSince Dec 14, 2020 Accepting new patients
Lahey Clinic, Inc Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 4, 2025 Accepting new patients
Inner Peace Behavioral Health PLLC Psychiatric/Mental Health CurrentSince May 19, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 16, 2023 Accepting new patients
Circle Medical Team LLC CurrentSince Nov 1, 2020 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Ipc Hospitalists of New England, P.C. Family Past Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

227 Babcock St
Brookline, MA 02446
Phone (617) 731-3200

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

95 Washington St
Ste 224177
Canton, MA 02021

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

305 Walpole St
Norwood, MA 02062
Phone (781) 366-0310

10 Mazzeo Dr
Ste 201J
Randolph, MA 02368
Phone (508) 419-0990

259 Norwood St
Sharon, MA 02067
Phone (781) 366-0310

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 10

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1992358576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAZZEO DR STE 201J",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683433",
            "telephone_number": "508-419-0990",
            "fax_number": "954-405-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAZZEO DR STE 201J",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683433",
            "telephone_number": "508-419-0990",
            "fax_number": "954-405-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTHE",
        "first_name": "LUCIENNE",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "RN2259797",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2025001798",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F10190728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.