MRS. LAURA K PHILLIPS (NPI# 1578694980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578694980 |
| Entity Type | Individual |
| Full Name | MRS. LAURA K PHILLIPS |
| Other Name | MS. LAURA K TOTH |
| Credential | NURSE PRACTITIONER |
| Practice Address |
143 Longwater Dr South Shore Medical Center Norwell MA 02061-1683 |
| Mailing Address |
143 Longwater Drive South Shore Medical Center Norwell MA 02061-1795 |
| Practice Telephone | 7818785200 |
| Practice Fax Number | 7818786750 |
| Mailing Telephone | 7818785200 |
| Mailing Fax Number | 7818786750 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
262089 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICARE | 000065002 | 01 |
| PHCS/MULTI-PLAN | 042297845 | 01 | |
| FALLON HEALTH CARE | 1578694980 | 01 | |
| MA | 110085470A | 05 | |
| TRICARD | 042297845 | 01 | |
| MA | BCBSMA | SS0070 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478209 | Laura Polk Phillips | Nurse Anesthetist, Certified Registered | 125 Stone Creek Dr, Madison, MS 39110-5058 | 2020-05-14 |
| 1447872916 | Laura Lee Phillips | Social Worker | 300 Valley St Ste 204, Sausalito, CA 94965-2480 | 2020-05-07 |
| 1336769108 | Laura Phillips | Specialist/Technologist | 5352 Glen Rd, Coopersburg, PA 18036-8900 | 2020-04-22 |
| 1235629718 | Laura Phillips | Counselor | 55 Meridian Pkwy Ste 103, Martinsburg, WV 25404-5422 | 2018-05-10 |
| 1457794711 | Laura Suzanne Phillips | Registered Nurse | 43 Auburn Ave, Utica, NY 13501-5626 | 2013-04-16 |
| 1649401639 | Laura Ann Phillips | Speech-Language Pathologist | 309 Westside Ln Nw, Brookhaven, MS 39601-4533 | 2009-08-07 |
| 1982839239 | Laura Phillips | Social Worker | 24031 El Toro Rd Ste 250, Laguna Hills, CA 92653-3153 | 2009-05-15 |
| 1568668523 | Laura J Phillips | Physical Therapist | 114 Lindenberry Cir, The Woodlands, TX 77389-5097 | 2007-06-26 |
| 1043379316 | Laura N Phillips | Physical Therapist | 65 Bergen Street, Room 601, Newark, NJ 07101-1709 | 2006-12-06 |
| 1295836559 | Laura Marie Phillips | Marriage & Family Therapist | 116 Chestnut St E, Suite 400, Stillwater, MN 55082-5116 | 2006-09-26 |
| Street Address |
143 LONGWATER DR SOUTH SHORE MEDICAL CENTER |
| City | NORWELL |
| State | MA |
| Zip Code | 02061-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560488 | Scott P. Corkins | Family Medicine | 143 Longwater Dr, South Shore Medcal Center, Inc, Norwell, MA 02061-1683 | 2005-07-07 |
| 1427671601 | Kimberly Hope Azulay | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2020-05-22 |
| 1033778824 | South Shore Medical Center, Inc | Allergy & Immunology | 143 Longwater Dr, Norwell, MA 02061-1683 | 2019-06-06 |
| 1154885606 | Lindsay Verraster | Dietitian, Registered | 143 Longwater Dr, Norwell, MA 02061-1683 | 2019-01-29 |
| 1285112052 | South Shore Medical Center, Inc | Clinic/Center | 143 Longwater Dr, Norwell, MA 02061-1683 | 2018-08-02 |
| 1528597267 | Allyson Julia Gutstein | Pediatrics | 143 Longwater Dr, Norwell, MA 02061-1683 | 2017-06-07 |
| 1760913271 | Julia M. Vu | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2017-03-26 |
| 1134673346 | Patrick Joseph Welch | Physician Assistant | 143 Longwater Dr, Norwell, MA 02061-9147 | 2016-08-05 |
| 1811356132 | Erica Moses | Registered Nurse | 143 Longwater Dr, Norwell, MA 02061 | 2016-02-15 |
| 1710360136 | Emily Mcphee | Dietitian, Registered | 143 Longwater Dr, Norwell, MA 02061-1683 | 2015-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
| 1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
| 1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
| 1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
| Find all providers in zip 02061 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588066476 | Renee Nicole Gaudette Mcrae | Nurse Practitioner | 232 High St, Norwell, MA 02061-1844 | 2014-09-23 |
| 1518206093 | Brooke Adair Rieth | Nurse Practitioner | 77 Accord Park Dr, Bldg D-4, Norwell, MA 02061-1623 | 2013-02-04 |
| 1427671601 | Kimberly Hope Azulay | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2020-05-22 |
| 1033753009 | Amy Pike Gianino | Nurse Practitioner | 13 Winter St, Norwell, MA 02061-1413 | 2019-11-04 |
| 1669807954 | Lori V. Devereaux | Nurse Practitioner | 143 Longwater Drive, Norwell, MA 02061 | 2013-09-05 |
| 1447500947 | Kerri Lee Buckley | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2012-09-12 |
| 1871852053 | Marguerite S Patzer | Nurse Practitioner | 75 Washington St, Norwell, MA 02061-1795 | 2012-05-09 |
| 1992021315 | Brian D Russell | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2010-04-09 |
| 1477710812 | Ethel Marie Dawley | Nurse Practitioner | 384 Washington St, Norwell, MA 02061-2010 | 2008-05-22 |
| 1427159128 | Amy Christine Federico | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2006-09-26 |
| Find all providers in NORWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.