Individual provider Active NPI

Julie M McDonald, CNM

  • Advanced Practice Midwife
  • Fall River, MA
National Provider Identifier
1003896069
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
193379 Issued in MA
Practice address
1151 Robeson St Ste 201
Fall River, MA 02720-5566
Phone
(508) 730-1666
Fax
(508) 646-7119
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 193379 MA Primary

Addresses

Primary practice location

1151 Robeson St Ste 201
Fall River, MA 02720-5566

Mailing address

1151 Robeson St Ste 201
Fall River, MA 02720-5566
Phone (508) 730-1666

Other practice location 1

363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 679-3131

Other identifiers 1

IdentifierTypeStateIssuer
0701971MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmcdonald6069@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040907000051 MA Practitioner - Certified Nurse Midwife (CNM) 0042286676 Reassigns benefits to 2 organizations
I20150824002093 RI Practitioner - Certified Nurse Midwife (CNM) 0042286676

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrical Associates IncGroup PAC ID 5698872281, 5 clinicians

Practice addresses (Care Compare)

1151 Robeson St
FL 2
Fall River, MA 02720-5565
Phone (508) 730-1666

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
193379MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Mar 31, 2014 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 31, 2014 Accepting new patients
Obstetrics Gynecology and Midwifery of Newport PastSince Aug 1, 2014 Accepting new patients

Locations

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

1565 N Main St
Ste 506
Fall River, MA 02720
Phone (508) 730-1666

1151 Robeson St
Fl 2
Fall River, MA 02720
Phone (508) 646-6767

1151 Robeson St
Ste 201
Fall River, MA 02720
Phone (508) 730-1666

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

Interoperability endpoints

  • Direct secure messaging: jmcdonald6069@direct.southcoast.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1003896069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 ROBESON ST STE 201",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205566",
            "telephone_number": "508-730-1666",
            "fax_number": "508-646-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 ROBESON ST STE 201",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205566",
            "telephone_number": "508-730-1666",
            "fax_number": "508-646-7119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027203703",
            "country_code": "US",
            "telephone_number": "508-679-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "193379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701971",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcdonald6069@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "363 Highland Ave",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027203703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.