Individual provider Active NPI

Josie McDonald, FNP

  • Family Nurse Practitioner
  • Marlborough, MA
National Provider Identifier
1184341687
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10221241 Issued in MA
Practice address
33 Spoonhill Ave
Marlborough, MA 01752-2500
Phone
(508) 282-0458
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X F10221241 MA
Family Nurse Practitioner 363LF0000X F10221241 MA Primary

Addresses

Primary practice location

33 Spoonhill Ave
Marlborough, MA 01752-2500

Mailing address

33 Spoonhill Ave
Marlborough, MA 01752-2500
Phone (508) 282-0458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10221241MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Home Health Care LLC CurrentSince Nov 4, 2005 Accepting new patients
Worcester Internal Medicine, Inc. Single Specialty CurrentSince Oct 17, 2023 Accepting new patients

Locations

416 Belmont St
Worcester, MA 01604
Phone (508) 756-1808

416 Belmont St
Ste 1
Worcester, MA 01604
Phone (508) 756-6609

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGFCDD

Organizations & group practices 2

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1184341687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SPOONHILL AVE",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017522500",
            "telephone_number": "508-282-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SPOONHILL AVE",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017522500",
            "telephone_number": "508-282-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JOSIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "F10221241",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F10221241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.