Active NPI
Platinum Wellness,PLLC
- Adult Health Nurse Practitioner
- Canton, MA
National Provider Identifier
1164396172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- 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, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Analesa Baraka, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 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.