Individual provider Active NPI

Julie B Colantuoni, RN, NP

  • Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1497188452
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2275231 Issued in MA
Practice address
1324 Belmont St Ste 202
Brockton, MA 02301-4435
Phone
(401) 415-4618
Fax
(401) 415-4348
NPI assigned
Aug 14, 2013
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2275231 MA Primary
Acute Care Nurse Practitioner 363LA2100X 2275231 MA

Addresses

Primary practice location

1324 Belmont St Ste 202
Brockton, MA 02301-4435

Mailing address

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20140708000047 MA Practitioner - Nurse Practitioner 9032334016 Reassigns benefits to 1 organization
I20220401001669 RI Practitioner - Nurse Practitioner 9032334016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Emory St
Attleboro, MA 02703-3089
Phone (401) 415-4618

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

289 E St
Wrentham, MA 02093-1338
Phone (508) 384-3531

90 Taunton St
Wrentham, MA 02093-1349
Phone (508) 384-7977

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2275231MAMDNurse Practitioner
2275231MAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Hospice & Palliative Care CurrentSince May 14, 2020 Accepting new patients
Hopehealth Hospice & Palliative Care Past Accepting new patients

Locations

10 Emory St
Attleboro, MA 02703
Phone (401) 415-4618

1324 Belmont St
Ste 202
Brockton, MA 02301
Phone (401) 415-4618

1085 N Main St
Providence, RI 02904
Phone (401) 415-4200

Organizations & group practices 3

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 1

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1497188452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045719",
            "telephone_number": "401-415-4618",
            "fax_number": "401-415-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BELMONT ST STE 202",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014435",
            "telephone_number": "401-415-4618",
            "fax_number": "401-415-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANTUONI",
        "first_name": "JULIE",
        "middle_name": "B",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2275231",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "2275231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.