Individual provider Active NPI

Julyvette Rodriguez, APRN

  • Family Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1710376934
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN278514 Issued in MA
Practice address
780 Chestnut St
Springfield, MA 01107-1637
Phone
(413) 787-2800
NPI assigned
Jan 12, 2015
Last updated
Jan 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN278514 MA Primary

Addresses

Primary practice location

780 Chestnut St
Springfield, MA 01107-1637

Mailing address

780 Chestnut St
Springfield, MA 01107-1637
Phone (413) 787-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151120001099 MA Practitioner - Nurse Practitioner 7618277781 Reassigns benefits to 1 organization
I20220519001645 CT Practitioner - Nurse Practitioner 7618277781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antero Urgent Care LLCGroup PAC ID 2062803422, 7 clinicians

Practice addresses (Care Compare)

39 Nott Hwy
Unit 7
Ashford, CT 06278-1341
Phone (860) 477-1267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN278514MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Antero, Inc CurrentSince Mar 1, 2022 Accepting new patients
Dispatchhealth Massachusetts PC CurrentSince Jan 1, 2022 Accepting new patients
Antero Urgent Care LLC CurrentSince Mar 1, 2022 Accepting new patients
Excella Home Health Agency, LLC PastSince Jan 1, 2022 Accepting new patients
Antero Primary Care Past Accepting new patients

Locations

39 Nott Hwy
Unit 5
Ashford, CT 06278
Phone (860) 477-0523

39 Nott Hwy
Unit 7
Ashford, CT 06278
Phone (860) 477-1267

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

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, 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": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1710376934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071637",
            "telephone_number": "413-787-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071637",
            "telephone_number": "413-787-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JULYVETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN278514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.