1962277012 NPI number — RACHEL ANN LAMONTAGNE FNP-C

Table of content: RACHEL ANN LAMONTAGNE FNP-C (NPI 1962277012)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962277012 NPI number — RACHEL ANN LAMONTAGNE FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMONTAGNE
Provider First Name:
RACHEL
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962277012
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/05/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45 RESNIK RD STE 205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLYMOUTH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02360-7223
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-746-5060
Provider Business Mailing Address Fax Number:
508-746-8069

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
84 FAUNCE CORNER RD UNIT 320
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DARTMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02747-1276
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-644-0255
Provider Business Practice Location Address Fax Number:
508-283-3176
Provider Enumeration Date:
11/20/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  RN2287127 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: F03240084 . This is a "AMERICAN ACADEMY OF NURSE PRACTITIONERS - BOARD CERTIFICATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: RN2287127 . This is a "BOARD OF REGISTRATION IN NURSING, CERTIFIED NURSE PRACTITIONER AUTHORIZATION" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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