John Thagard
Nurse Practitioner, Psych/Mental Health in Lawrence, MA. Individual provider (NPI-1).
NPI number1194355578
StatusActive
Last updated in NPPESMay 8, 2025
Details
- NPI
- 1194355578
- Entity type
- Individual (NPI-1)
- Name
- John Thagard
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2020
- Certification date
- May 8, 2025
- Last updated
- May 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN2293449 | MA | Yes |
| 363LF0000X | Nurse Practitioner, Family | 067929-23 | NH |
Practice location
280 Merrimack St Ste 141Lawrence, MA 01843-1780
Phone 508-901-2044
Mailing address
Po Box 415258Boston, MA 02241-5258
Other practice locations
25 Highland Ave
Newburyport, MA 01950-3867
Newburyport, MA 01950-3867
Phone 978-463-1000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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