Individual provider Active NPI

Johnna Moulton

  • Family Nurse Practitioner
  • Reading, MA
National Provider Identifier
1003369828
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2267416 Issued in MA
Practice address
42 Chestnut Rd
Reading, MA 01867-2141
Phone
(781) 608-0825
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN2267416 MA
Family Nurse Practitioner 363LF0000X 2267416 MA Primary

Addresses

Primary practice location

42 Chestnut Rd
Reading, MA 01867-2141

Mailing address

42 Chestnut Rd
Reading, MA 01867-2141
Phone (781) 608-0825

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
I20230509002294 MA Practitioner - Nurse Practitioner 4284090689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Community Medical Services PC 11 clinicians
Life Choice Hospice of Southern Massachusetts LLC 2 clinicians

Practice addresses (Care Compare)

575 Turnpike St
Suite 25
North Andover, MA 01845-5937
Phone (978) 290-4646

790 Turnpike St
Suite 202
North Andover, MA 01845-6138
Phone (978) 777-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2267416MAMDHome Health Registered Nurse
2267416MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Choice Hospice of Southern Massachusetts LLC Family CurrentSince Apr 3, 2025 Accepting new patients
First Choice Community Medical Services PC CurrentSince Feb 27, 2023 Accepting new patients

Locations

575 Turnpike St
Ste 25
North Andover, MA 01845
Phone (978) 290-4646

790 Turnpike St
Ste 202
North Andover, MA 01845
Phone (978) 777-8222

Organizations & group practices 3

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1003369828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CHESTNUT RD",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672141",
            "telephone_number": "781-608-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CHESTNUT RD",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672141",
            "telephone_number": "781-608-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "JOHNNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "RN2267416",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2267416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

Verify at the official NPI Registry.