Individual provider Active NPI

Julia Thorn

  • Pediatrics Physician
  • Chicopee, MA
National Provider Identifier
1649615469
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D83212 Issued in MD
Practice address
505 Front St
Chicopee, MA 01013-3140
Phone
(413) 420-2222
NPI assigned
May 7, 2013
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D83212 MD Primary

Addresses

Primary practice location

505 Front St
Chicopee, MA 01013-3140

Mailing address

PO Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1000

Other practice location 1

900 Caton Ave MB 081
Baltimore, MD 21229-2109
Phone (443) 703-3200

Other practice location 2

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000

Other practice location 3

733 N Broadway Suite 147
The Johns Hopkins University School of Medicine
Baltimore, MD 21205-2109
Phone (410) 955-3080

Other practice location 4

733 N Broadway Suite 147
The Johns Hopkins University School of Medicine
Baltimore, MD 21205-2109
Phone (410) 955-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201223000720 TX Practitioner - Pediatric Medicine 7214151711 Reassigns benefits to 1 organization
I20260618001639 MA Practitioner - Pediatric Medicine 7214151711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 Main St Apt
3R
South Hadley, MA 01075-2848

230 Maple St
Holyoke, MA 01040-5140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D83212MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Sep 18, 2020 Accepting new patients

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 2

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1649615469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1337",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873051337",
            "telephone_number": "505-722-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 FRONT ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010133140",
            "telephone_number": "413-420-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Caton Ave MB 081",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212292109",
            "country_code": "US",
            "telephone_number": "443-703-3200",
            "fax_number": "443-703-3201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 E Nizhoni Blvd",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873015748",
            "country_code": "US",
            "telephone_number": "505-722-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "733 N Broadway Suite 147",
            "address_2": "The Johns Hopkins University School of Medicine",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212052109",
            "country_code": "US",
            "telephone_number": "410-955-3080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "733 N Broadway Suite 147",
            "address_2": "The Johns Hopkins University School of Medicine",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212052109",
            "country_code": "US",
            "telephone_number": "410-955-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORN",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D83212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.