Active NPI
Julia Deaver Arnett, NP
- Adult Health Nurse Practitioner
- Roxbury, MA
National Provider Identifier
1184763559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN204170
- Practice address
- 75 Malcolm X Blvd
Roxbury, MA 02120-3106 - Phone
- (617) 534-9951
- NPI assigned
- Feb 5, 2007
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN204170 | MA | Primary |
Addresses
Primary practice location
75 Malcolm X Blvd
Roxbury, MA 02120-3106
Mailing address
1010 Massachusetts Avenue
Boston, MA 02118
Phone (617) 534-2398
Other practice location 1
150 Newbury Street
Snowden High School
Boston, MA 02118
Phone (617) 534-9961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110097001A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN204170 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Health Foundation of Boston, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Boston, MA
- NPI 1619969920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1184763559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 MASSACHUSETTS AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-534-2398",
"fax_number": "617-534-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MALCOLM X BLVD",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021203106",
"telephone_number": "617-534-9951"
}
],
"practiceLocations": [
{
"address_1": "150 Newbury Street",
"address_2": "Snowden High School",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02118",
"country_code": "US",
"telephone_number": "617-534-9961",
"fax_number": "617-534-9921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARNETT",
"first_name": "JULIA",
"middle_name": "DEAVER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN204170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110097001A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.