MRS. LISA DUMOUCHEL APRN NPI 1013960699

NPI Information

NPI: 1013960699
Provider Name: MRS. LISA DUMOUCHEL, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC

PECOS Registration: Yes

Address:
330 BROOKLINE AVE
FA 813
BOSTON, MA
ZIP 02215
Phone: (617) 632-9880
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MRS. Lisa Dumouchel, APRN is an adult health nurse practitioner in Boston, MA with 25 years of experience. MRS. Lisa Dumouchel, APRN NPI is 1013960699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 BROOKLINE AVE
FA 813
BOSTON, MA
ZIP 02215-400
Phone: (617) 632-9880
Fax: (617) 632-9890

The NPI 1013960699 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 5/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	203471	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP5150	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
2	Q53628	MEDICARE UPIN	MASSACHUSETTS
3	0706973	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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