Organization Active NPI

Juliana

  • Skilled Nursing Facility
  • Braintree, MA
National Provider Identifier
1679010193
Registry record updated Jan 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
RN2284309 Issued in MA
Legal business name
JULIANA
Practice address
414 Shaw St
Braintree, MA 02184-1226
Phone
(857) 312-5990
NPI assigned
Jan 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2017

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

Authorized official

Name
Juliana Igbinosun, RN
Title
RN
Phone
(857) 312-5990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X RN2284309 MA Primary

Addresses

Primary practice location

414 Shaw St
Braintree, MA 02184-1226

Mailing address

414 Shaw St
Braintree, MA 02184-1226
Phone (857) 312-5990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485043200000",
    "number": "1679010193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SHAW ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021841226",
            "telephone_number": "857-312-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SHAW ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021841226",
            "telephone_number": "857-312-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-22",
        "last_updated": "2017-01-22",
        "status": "A",
        "authorized_official_last_name": "IGBINOSUN",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "857-312-5990",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "RN2284309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.