Active NPI
Jade Doolan
- Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2306107
- Practice address
- 1290 Tremont St
Boston, MA 02120-3432 - Phone
- (617) 694-4017
- Fax
- (617) 694-4017
- NPI assigned
- Sep 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2306107 | MA | |
| Nurse Practitioner | 363L00000X | RN2306107 | MA | Primary |
Addresses
Primary practice location
1290 Tremont St
Boston, MA 02120-3432
Mailing address
1290 Tremont St
Boston, MA 02120-3432
Other practice location 1
85 Herrick St
Beverly, MA 01915-1790
Phone (978) 816-3700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400
480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8451
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| Joslin Clinic Inc | Current | Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| Mount Auburn Professional Services Inc | Current | Accepting new patients | |
| Mt Auburn Professional Services | Current | Accepting new patients |
Locations
85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700
1 Joslin Pl
Boston, MA 02215
Phone (617) 309-2400
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
300 Mount Auburn St
Ste 517
Cambridge, MA 02138
Phone (617) 666-6140
57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500
Interoperability endpoints
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
- jdoolan257810@direct.bilh.masshiway.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1528003621
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
-
- Urology Physician
- Burlington, MA
- NPI 1427161660
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1013375203
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1659890820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 TREMONT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021203432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 TREMONT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021203432",
"telephone_number": "617-694-4017",
"fax_number": "617-694-4017"
}
],
"practiceLocations": [
{
"address_1": "85 Herrick St",
"address_purpose": "LOCATION",
"city": "Beverly",
"state": "MA",
"postal_code": "019151790",
"country_code": "US",
"telephone_number": "978-816-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOOLAN",
"first_name": "JADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-19",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2306107",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2306107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.