Active NPI
Julie Anne Breault, AUD
- Audiologist
- Worcester, MA
National Provider Identifier
1225565047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4686
- Practice address
- 33 Oak Ave Ste 3
Worcester, MA 01605-2752 - Phone
- (508) 792-9293
- Fax
- (508) 798-7989
- NPI assigned
- May 11, 2017
- Last updated
- May 11, 2017
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4686 | MA | Primary |
Addresses
Primary practice location
33 Oak Ave Ste 3
Worcester, MA 01605-2752
Mailing address
33 Oak Ave Ste 3
Worcester, MA 01605-2752
Phone (508) 792-9293
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4686 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1225565047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 OAK AVE STE 3",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052752",
"telephone_number": "508-792-9293",
"fax_number": "508-798-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 OAK AVE STE 3",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052752",
"telephone_number": "508-792-9293",
"fax_number": "508-798-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREAULT",
"first_name": "JULIE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "4686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.