Individual provider Active NPI

Courtney Perette, APN

  • Family Nurse Practitioner
  • South Easton, MA
National Provider Identifier
1164656732
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN267944 Issued in MA
Practice address
21 Bristol Dr
Suite 100
South Easton, MA 02375-1100
Phone
(508) 565-7100
Fax
(508) 565-7105
NPI assigned
May 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN267944 MA Primary

Addresses

Primary practice location

21 Bristol Dr
Suite 100
South Easton, MA 02375-1100

Mailing address

362 N Bedford St
East Bridgewater, MA 02333-1148
Phone (508) 350-2350

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090706000542 MA Practitioner - Nurse Practitioner 4587715446 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15 Colonial Dr
Bridgewater, MA 02324-3001
Phone (617) 519-0728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN267944MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jun 23, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 23, 2014 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Nov 12, 2024 Accepting new patients
CH Healthcare, PLLC CurrentSince Apr 10, 2025 Accepting new patients
Compass Medical PC Past Accepting new patients
Optum Medical Services, P.C. Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

63 Main St
Brockton, MA 02301
Phone (508) 559-6696

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

1 Pearl St
Ste 2200
Brockton, MA 02301
Phone (508) 897-6150

765 Attucks Ln
Hyannis, MA 02601
Phone (508) 957-0200

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

21 Bristol Dr
Ste 100
South Easton, MA 02375
Phone (508) 565-7100

21 Bristol Dr
Ste 200
South Easton, MA 02375
Phone (508) 565-7300

Interoperability endpoints

  • Direct secure messaging: courtney.perette.1@2017.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1164656732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 N BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331148",
            "telephone_number": "508-350-2350",
            "fax_number": "508-350-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BRISTOL DR",
            "address_2": "SUITE 100",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751100",
            "telephone_number": "508-565-7100",
            "fax_number": "508-565-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERETTE",
        "first_name": "COURTNEY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN267944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Easton, MA

Sources for this page

Verify at the official NPI Registry.