Organization Active NPI

Platinum Wellness,PLLC

  • Adult Health Nurse Practitioner
  • Canton, MA
National Provider Identifier
1164396172
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
PLATINUM WELLNESS,PLLC
Practice address
715B Washington St
Canton, MA 02021-3037
Phone
(617) 233-4400
Fax
(617) 233-4400
NPI assigned
Oct 2, 2025
Organization subpart
Yes
Parent organization
PLATINUM WELLNESS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Analesa Baraka, NPNPI 1659706976
Title
Owner
Phone
(617) 233-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

715B Washington St
Canton, MA 02021-3037

Mailing address

75 N Main St # 512
Randolph, MA 02368-4605
Phone (617) 233-4400

National Provider Directory

National Provider Directory
Part of
Platinum Wellnesspllc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1164396172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N MAIN ST # 512",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684605",
            "telephone_number": "617-233-4400",
            "fax_number": "617-233-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715B WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213037",
            "telephone_number": "617-233-4400",
            "fax_number": "617-233-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM WELLNESS,PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLATINUM WELLNESS, PLLC",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "BARAKA",
        "authorized_official_first_name": "ANALESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-233-4400",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.