Individual provider Active NPI

Juilet Paul

  • Gerontology Nurse Practitioner
  • Boston, MA
National Provider Identifier
1578840526
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
215307 Issued in MA
Practice address
780 Albany St
Boston, MA 02118-2524
Phone
(857) 654-1000
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 215307 MA
Primary Care Nurse Practitioner 363LP2300X 215307 MA
Gerontology Clinical Nurse Specialist 364SG0600X 215307 MA
Gerontology Nurse Practitioner 363LG0600X 215307 MA Primary

Addresses

Primary practice location

780 Albany St
Boston, MA 02118-2524

Mailing address

39 Kenwood Street
Dorchester Center, MA 02124-2211

Other practice location 1

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (508) 408-9200

Other practice location 2

34 North Pearl Street
BMC Brockton Behavioral Health Center - Evans
Brockton, MA 02301
Phone (508) 408-9200

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
I20130612000202 MA Practitioner - Nurse Practitioner 8123267770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston University Psychiatry Associates, Inc.Group PAC ID 7911805361, 104 clinicians

Practice addresses (Care Compare)

34 N Pearl St
Brockton, MA 02301-1708
Phone (508) 408-9200

85 E Newton St
Suite 905
Boston, MA 02118-2340
Phone (617) 414-5245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
215307MAMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Current Accepting new patients
Evans Medical Foundation, Inc. Adult Health CurrentSince Apr 3, 2023 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Atrius Health, Inc. CurrentSince Jan 15, 2016 Accepting new patients
Boston University Psychiatry Associates, Inc. CurrentSince Apr 3, 2023 Accepting new patients
Atrius Health, Inc. CurrentSince Jan 15, 2016 Accepting new patients
Aniket Chakrabarti MD PC Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

85 East Newton St
Ste 905
Boston, MA 02118
Phone (617) 414-5245

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

34 N Pearl St
Brockton, MA 02301
Phone (508) 408-9200

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

Interoperability endpoints

  • Direct secure messaging: jpaul188638@direct.ochin.org
  • Direct secure messaging: jpaul47275@direct.bmc.masshiway.net

Organizations & group practices 7

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": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1578840526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 KENWOOD STREET",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182524",
            "telephone_number": "857-654-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Boston Medical Ctr Pl",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182908",
            "country_code": "US",
            "telephone_number": "508-408-9200",
            "fax_number": "857-241-5492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 North Pearl Street",
            "address_2": "BMC Brockton Behavioral Health Center - Evans",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "02301",
            "country_code": "US",
            "telephone_number": "508-408-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JUILET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "215307",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "215307",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MA",
            "license": "215307",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "215307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.