Juliana Igbinosun

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2284309 Issued in MA

Practice address

950 N Main St # 202
Randolph, MA 02368-3064

Phone

(617) 203-2009

NPI assigned

Oct 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CT, MD3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Engrace Behavioral Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Randolph, MA
  • NPI 1013416387

  CT, MA, MD

  Medicare reassignment Authorized official
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1417468463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N MAIN ST # 202",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683064",
            "telephone_number": "617-203-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N MAIN ST # 202",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683064",
            "telephone_number": "617-203-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBINOSUN",
        "first_name": "JULIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "2284309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Michelle Huff-Larmond, MSW
• Anna-Catlin Huitt
• Lillian K Hunter
• Yusra Hussain
• Andy Huynh, OD
• Florence Philomena Igharosa, RN
• Lynda Ikeogu, RN
• Esther M Ikuewan, RN
• Iheukwumere Lucky Ikwudirim
• Sampa Ikwudirim

• All providers in Randolph, MA
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.