Individual provider Active NPI

Ellen Marie Hulett, DC

  • Chiropractor
  • Waquoit, MA
National Provider Identifier
1043313612
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1739 Issued in MA
Practice address
446 Waquoit Hwy
Waquoit, MA 02536-3657
Phone
(508) 457-4400
Fax
(508) 457-4700
NPI assigned
Sep 7, 2006
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
Chiropractor 111N00000X 1739 MA Primary

Addresses

Primary practice location

446 Waquoit Hwy
Waquoit, MA 02536-3657

Mailing address

PO Box 3657
Waquoit, MA 02536-3657
Phone (508) 457-4400

Other identifiers 4

IdentifierTypeStateIssuer
Y39524OtherMAGROUP # BCBS MA
351185OtherHARVARD PILGRIM
Y36224OtherMAINDIVIDUAL BCBS MA
001739OtherTUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1739MAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043313612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3657",
            "city": "WAQUOIT",
            "state": "MA",
            "postal_code": "025363657",
            "telephone_number": "508-457-4400",
            "fax_number": "508-457-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 WAQUOIT HWY",
            "city": "WAQUOIT",
            "state": "MA",
            "postal_code": "025363657",
            "telephone_number": "508-457-4400",
            "fax_number": "508-457-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULETT",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP # BCBS MA",
            "identifier": "Y39524",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "351185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BCBS MA",
            "identifier": "Y36224",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "001739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waquoit, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.