Individual provider Active NPI

Joy Sweetall, NP

  • Nurse Practitioner
  • Peabody, MA
National Provider Identifier
1497740666
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
162638 Issued in MA
Practice address
2 Corporation Way
Suite 180
Peabody, MA 01960-7932
Phone
(978) 977-2688
Fax
(978) 573-4395
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 162638 MA Primary

Addresses

Primary practice location

2 Corporation Way
Suite 180
Peabody, MA 01960-7932

Mailing address

2 Corporation Way
Suite 180
Peabody, MA 01960-7932
Phone (978) 977-2688

Other identifiers 1

IdentifierTypeStateIssuer
0702954MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050330000696 MA Practitioner - Nurse Practitioner 7416903646 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162638MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Sep 19, 2013 Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

2 Corporation Way
Ste 180
Peabody, MA 01960
Phone (781) 248-1766

Interoperability endpoints

  • Direct secure messaging: sweetall.joy.nsmc@direct.partners.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1497740666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORPORATION WAY",
            "address_2": "SUITE 180",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607932",
            "telephone_number": "978-977-2688",
            "fax_number": "978-573-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATION WAY",
            "address_2": "SUITE 180",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607932",
            "telephone_number": "978-977-2688",
            "fax_number": "978-573-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEETALL",
        "first_name": "JOY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "162638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0702954",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.