Individual provider Active NPI

Juliette Grant Blount, NP

  • Adult Health Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1578683587
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303578 Issued in NY
Practice address
89-56 162ND Street
Jamaica, NY 11432
Phone
(347) 505-7000
NPI assigned
Mar 31, 2007
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 424450 NY
Adult Health Nurse Practitioner 363LA2200X F303578 NY Primary

Addresses

Primary practice location

89-56 162ND Street
Jamaica, NY 11432

Mailing address

89-56 162ND Street
Jamaica, NY 11432-2392
Phone (718) 657-1100

Other practice location 1

2119 Frederick Douglass Blvd
New York, NY 10026-2392
Phone (212) 300-2836

Other practice location 2

2604 3rd Ave
Bronx, NY 10454-1199
Phone (718) 292-0100

Other practice location 3

489 5th Ave Fl 3
One Medical Group
New York, NY 10017-6145
Phone (212) 530-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040414001479 NY Practitioner - Nurse Practitioner 2860486446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
424450NYMDRegistered Nurse
F303578NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine PastSince Feb 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1578683587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89-56 162ND STREET",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322392",
            "telephone_number": "718-657-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-56 162ND STREET",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "347-505-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2119 Frederick Douglass Blvd",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100262392",
            "country_code": "US",
            "telephone_number": "212-300-2836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2604 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104541199",
            "country_code": "US",
            "telephone_number": "718-292-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "489 5th Ave Fl 3",
            "address_2": "One Medical Group",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176145",
            "country_code": "US",
            "telephone_number": "212-530-2288",
            "fax_number": "212-867-4353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "JULIETTE",
        "middle_name": "GRANT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "424450",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.