Active NPI
Courtney Perette, APN
- Family Nurse Practitioner
- South Easton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN267944
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN267944 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Revere Medical of Massachusetts, PC | Current | Accepting new patients | |
| CH Healthcare, PLLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Bridgewater, MA
- NPI 1316731789
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1336976539
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- General Practice Physician
- East Bridgewater, MA
- NPI 1962437962
-
- Preferred Provider Organization
- Raleigh, NC
- NPI 1093083289
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.