Active NPI
Juliana Michelle Plante, PA-C
- Physician Assistant
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01466
- Practice address
- 345 Blackstone Blvd
Providence, RI 02906-4800 - Phone
- (401) 455-6200
- Fax
- (401) 455-6689
- NPI assigned
- Oct 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA6293 | MA | |
| Physician Assistant | 363A00000X | PA01466 | RI | Primary |
Addresses
Primary practice location
345 Blackstone Blvd
Providence, RI 02906-4800
Mailing address
345 Blackstone Blvd Ste 2
Providence, RI 02906-4829
Phone (401) 455-6200
Other practice location 1
188 Providence St
Hyde Park, MA 02136-1861
Phone (617) 833-6100
Other practice location 2
530 N Main St
Providence, RI 02904-5762
Phone (401) 274-2500
Other names 1
- Juliana Michelle Boutier
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jboutier@direct.carene.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
455 Tollgate Rd
Warwick, RI 02886-2759
530 N Main St
Providence, RI 02904-5762
Phone (401) 274-2500
825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2026
825 Chalkstone Ave
Providence, RI 02908-4735
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA6293 | MA | MD | Physician Assistant |
| PA01466 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Chartercare Sjhsri, LLC | Current | Accepting new patients | |
| Prospect Chartercare RWMC, LLC | Current | Accepting new patients | |
| Prospect Chartercare RWMC, LLC | Current | Accepting new patients | |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Prospect Chartercare Sjhsri, LLC | Current | Accepting new patients | |
| The Providence Center | Past | Accepting new patients | |
| Premier Healthcare Services, LLC | Past | Accepting new patients |
Locations
2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747
200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- jboutier@direct.carene.org
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Providence, RI
- NPI 1285059287
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Providence, RI
- NPI 1104847946
-
- Internal Medicine Physician
- North Providence, RI
- NPI 1588089759
-
- Internal Medicine Physician
- North Providence, RI
- NPI 1346079209
-
- Internal Medicine Physician
- Providence, RI
- NPI 1649009507
-
- Geriatric Psychiatry Physician
- Middletown, CT
- NPI 1760909279
MA
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- Cardiovascular Disease Physician
- Providence, RI
- NPI 1326463548
-
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
-
- Community/Behavioral Health Agency
- Providence, RI
- NPI 1134977598
-
- Geriatric Medicine (Internal Medicine) Physician
- Dartmouth, MA
- NPI 1174089163
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1467962720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 BLACKSTONE BLVD STE 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064829",
"telephone_number": "401-455-6200",
"fax_number": "401-455-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 BLACKSTONE BLVD",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064800",
"telephone_number": "401-455-6200",
"fax_number": "401-455-6689"
}
],
"practiceLocations": [
{
"address_1": "188 Providence St",
"address_purpose": "LOCATION",
"city": "Hyde Park",
"state": "MA",
"postal_code": "021361861",
"country_code": "US",
"telephone_number": "617-833-6100",
"fax_number": "617-833-6160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 N Main St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029045762",
"country_code": "US",
"telephone_number": "401-274-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLANTE",
"first_name": "JULIANA",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-01",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA6293",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA01466",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jboutier@direct.carene.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "345 Blackstone Blvd",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029064800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JULIANA",
"last_name": "BOUTIER",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.