Individual provider Active NPI

Juliana Medrado

  • Family Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1447804539
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
069901-23 Issued in NH
Practice address
19 Tyler St
Nashua, NH 03060-2951
Phone
(603) 595-0063
Fax
(603) 595-9419
NPI assigned
Jul 28, 2019
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 069901-23 NH Primary

Addresses

Primary practice location

19 Tyler St
Nashua, NH 03060-2951

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191022001182 NH Practitioner - Nurse Practitioner 1153653332 Reassigns benefits to 2 organizations
I20200821002496 MA Practitioner - Nurse Practitioner 1153653332 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Incare LLCGroup PAC ID 1153658851, 62 clinicians
Incare Tufts PLLCGroup PAC ID 3072013192, 49 clinicians

Practice addresses (Care Compare)

140 Lincoln Ave
Haverhill, MA 01830-6700
Phone (781) 600-7599

565 Turnpike St
Suite 85
North Andover, MA 01845-5936
Phone (978) 689-2247

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
069901-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Tufts PLLC CurrentSince Aug 23, 2025 Accepting new patients
Incare LLC CurrentSince Aug 22, 2025 Accepting new patients
Incare Lawrence PLLC CurrentSince Aug 22, 2025 Accepting new patients
Alignmed Partners, PC CurrentSince Sep 21, 2019 Accepting new patients
Foundation Medical Partners Inc CurrentSince Feb 9, 2025 Accepting new patients

Locations

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

70 East St
Methuen, MA 01844
Phone (978) 682-1906

565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

298 Main St
Keene, NH 03431
Phone (310) 270-6181

191 Hackett Hill Rd
Manchester, NH 03102
Phone (603) 600-3255

19 Tyler St
Nashua, NH 03060
Phone (603) 577-3399

19 Tyler St
Ste 305
Nashua, NH 03060
Phone (603) 577-2396

8 Snow Rd
Winchester, NH 03470
Phone (603) 239-6355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1447804539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 TYLER ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602951",
            "telephone_number": "603-595-0063",
            "fax_number": "603-595-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRADO",
        "first_name": "JULIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "069901-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.