Active NPI
Judith A Berube, NP
- Nurse Practitioner
- Hyannis, MA
National Provider Identifier
1063448710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 179473
- Practice address
- 34 Park St
Hyannis, MA 02601-5204 - Phone
- (508) 862-5650
- Fax
- (508) 778-4753
- NPI assigned
- Jun 24, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 179473 | MA | Primary |
Addresses
Primary practice location
34 Park St
Hyannis, MA 02601-5204
Mailing address
34 Park St
Hyannis, MA 02601-5204
Phone (508) 862-5650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3835 | Other | MA | BCBS PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179473 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Hospital Inc | Current | Accepting new patients | |
| Cape Cod Healthcare, Inc | Past | Accepting new patients | |
| Physicians of Cape Cod Hospital | Past | Accepting new patients |
Locations
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
Interoperability endpoints
- jberube11639@direct.capecodhealthcare.masshiway.net
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1588992416
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063448710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 PARK ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015204",
"telephone_number": "508-862-5650",
"fax_number": "508-778-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 PARK ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015204",
"telephone_number": "508-862-5650",
"fax_number": "508-778-4753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERUBE",
"first_name": "JUDITH",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "179473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "NP3835",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.