Individual provider Active NPI

Julie L Dalton, NP

  • Nurse Practitioner
  • Andover, MA
National Provider Identifier
1023001088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
199781 Issued in MA
Practice address
16 Paulornette Cir
Andover, MA 01810-2838
Phone
(978) 475-0954
Fax
(781) 595-7111
NPI assigned
Aug 25, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 199781 MA Primary

Addresses

Primary practice location

16 Paulornette Cir
Andover, MA 01810-2838

Mailing address

16 Paulornette Cir
Andover, MA 01810-2838
Phone (978) 475-0954

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
I20040810000157 MA Practitioner - Nurse Practitioner 4082686175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Psychiatric Services, P.CGroup PAC ID 4183524887, 17 clinicians

Practice addresses (Care Compare)

1261 Furnace Brook Pkwy
Suite 31
Quincy, MA 02169-4787
Phone (617) 479-4545

851 Main St
Suite 4
Weymouth, MA 02190-1613
Phone (781) 821-2701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199781MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England, P.C. Nurse Practitioner CurrentSince Dec 11, 2013 Accepting new patients
Ipc Hospitalists of New England PC Nurse Practitioner CurrentSince Dec 11, 2013 Accepting new patients
Nova Psychiatric Services, PC CurrentSince Aug 1, 2018 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Past Accepting new patients
Topsfield SNF Operations LLC Past Accepting new patients

Locations

640 Concord Ave
Cambridge, MA 02138
Phone (617) 497-0600

321 Centre St
Dorchester, MA 02122
Phone (617) 825-6320

67 Union St
Natick, MA 01760
Phone (508) 383-1104

234 Copeland St
Ste 320
Quincy, MA 02169

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 Route 6A
Sandwich, MA 02563
Phone (508) 888-8222

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

851 Main St
Ste 4
Weymouth, MA 02190
Phone (781) 340-1222

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023001088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PAULORNETTE CIR",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102838",
            "telephone_number": "978-475-0954",
            "fax_number": "203-354-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PAULORNETTE CIR",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102838",
            "telephone_number": "978-475-0954",
            "fax_number": "781-595-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "199781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.