Individual provider Active NPI

Muriana Jeanniton, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1255742235
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN270513 Issued in MA
Practice address
490 N Main St Rear Suite2
Randolph, MA 02368-3741
Phone
(781) 510-9730
Fax
(781) 885-0397
NPI assigned
May 13, 2014
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN270513 MA Primary
Registered Nurse 163W00000X RN270513 MA

Addresses

Primary practice location

490 N Main St Rear Suite2
Randolph, MA 02368-3741

Mailing address

490 N Main St Rear Suite2
Randolph, MA 02368-3741
Phone (781) 510-9730

Other practice location 1

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

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
I20150116000874 MA Practitioner - Nurse Practitioner 8729302914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beautiful Mind Psychiatric Mental Health Services, LLCGroup PAC ID 8820355423, 2 clinicians

Practice addresses (Care Compare)

500 N Main St
Suite C
Randolph, MA 02368-6700
Phone (781) 885-7278

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission Current Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Beautiful Mind Psychiatric Mental Health Services, LLC CurrentSince Dec 1, 2016 Accepting new patients
High Point Treatment Center Inc. Past Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

490 N Main St
Rear
Randolph, MA 02368
Phone (781) 510-9730

500 N Main St
Ste C
Randolph, MA 02368
Phone (781) 885-7278

Interoperability endpoints

  • Direct secure messaging: mjeanniton120814@direct.challiance.masshiway.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1255742235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 N MAIN ST REAR SUITE2",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683741",
            "telephone_number": "781-510-9730",
            "fax_number": "781-885-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 N MAIN ST REAR SUITE2",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683741",
            "telephone_number": "781-510-9730",
            "fax_number": "781-885-0397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEANNITON",
        "first_name": "MURIANA",
        "name_prefix": "Dr.",
        "credential": "CNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN270513",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN270513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.