Active NPI
Joanna Bickford Couvillon, MSN, CNM
- Advanced Practice Midwife
- Concord, MA
National Provider Identifier
1003425752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN242215
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord OB/GYN Associates PC | Current | 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.
-
- Obstetrics & Gynecology Physician
- Concord, MA
- NPI 1114919313
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.