Taylor Johnson Antonellis, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2350068 Issued in MA

Practice address

43 Foundry Ave Ste 110
Waltham, MA 02453-8313

Phone

(781) 693-3800

Fax

(617) 562-1398

NPI assigned

Aug 2, 2022

Last updated

Apr 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles River Community Health, IncGroup PAC ID 5294709812, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tjohnson25022@direct.ctc.masshiway.net

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.

• Charles River Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Brighton, MA
  • NPI 1487664884
  Medicare reassignment Care Compare group NPD
• Charles River Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Allston, MA
  • NPI 1134306368
  NPD
• Charles River Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Waltham, MA
  • NPI 1750486106
  NPD

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

• Mount Auburn Hospital

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1689670259
  Care Compare affiliation

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1144957036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 FOUNDRY AVE",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024538313",
            "telephone_number": "781-693-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 FOUNDRY AVE STE 110",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024538313",
            "telephone_number": "781-693-3800",
            "fax_number": "617-562-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLIS",
        "first_name": "TAYLOR",
        "middle_name": "JOHNSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2350068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andreia Stephany Cunha Sicupira (Empowered birth support)
• Angela M Andreoli, PHARMD
• Stephen D Anesi, M.D.
• Angels Senior Homecare and Staffing Inc.
• Nwanneka Aniunoh
• Janet L Antonioni, MD
• Apna Ventures LLC (BrightStar Care of Concord, Lexington & Woburn)
• Maia Appel
• Natalia Arango
• Ararat Transportation, Inc

• Family Nurse Practitioner in Waltham, MA
• Providers in Waltham, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.