Individual provider Active NPI

Janet Louise Decourcey, CPNP

  • Pediatric Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1336104165
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
103156 Issued in MA
Practice address
25 Warren St
Randolph, MA 02368-4015
Phone
(781) 986-7800
Fax
(781) 986-5656
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 103156 MA Primary

Addresses

Primary practice location

25 Warren St
Randolph, MA 02368-4015

Mailing address

14 Harborview Dr
Hingham, MA 02043-2154

Other practice location 1

10 Forbes Rd
Allied Pediatrics
Braintree, MA 02184-2605
Phone (781) 849-1215

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
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
103156MAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1336104165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HARBORVIEW DR",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020432154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WARREN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684015",
            "telephone_number": "781-986-7800",
            "fax_number": "781-986-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Forbes Rd",
            "address_2": "Allied Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021842605",
            "country_code": "US",
            "telephone_number": "781-849-1215",
            "fax_number": "781-849-1418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECOURCEY",
        "first_name": "JANET",
        "middle_name": "LOUISE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "103156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.