Individual provider Active NPI

Joanna Bickford Couvillon, MSN, CNM

  • Advanced Practice Midwife
  • Concord, MA
National Provider Identifier
1003425752
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN242215 Issued in MA
Practice address
59 Old Road to 9 Acre Cor
Concord, MA 01742-3317
Phone
(978) 369-7627
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN242215 MA Primary

Addresses

Primary practice location

59 Old Road to 9 Acre Cor
Concord, MA 01742-3317

Mailing address

67 Paul Revere Rd
Concord, MA 01742-4817
Phone (978) 369-2640

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL emersonhosp.org Emerson Hospital

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221213000577 MA Practitioner - Certified Nurse Midwife (CNM) 6608245709 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Concord OB/GYN Associates PC CurrentSince Nov 18, 2022 Accepting new patients

Locations

59 Ornac
#1
Concord, MA 01742
Phone (978) 369-7627

59 Old Road To 9 Acre Cor
Concord, MA 01742
Phone (978) 287-8767

59 Old Road To 9 Acre Cor
#1
Concord, MA 01742
Phone (978) 369-7627

Organizations & group practices 1

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1003425752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 PAUL REVERE RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424817",
            "telephone_number": "978-369-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 OLD ROAD TO 9 ACRE COR",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423317",
            "telephone_number": "978-369-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUVILLON",
        "first_name": "JOANNA",
        "middle_name": "BICKFORD",
        "credential": "MSN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-11-27",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN242215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "emersonhosp.org",
            "affiliation": "Y",
            "affiliationName": "Emerson Hospital",
            "address_1": "59 Old Road To 9 Acre Cor",
            "city": "Concord",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017423317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.