Individual provider Active NPI

Julia Mary Gonsalves

  • Diabetes Educator Registered Nurse
  • Dracut, MA
National Provider Identifier
1720926348
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
RN1343430 Issued in MA
Practice address
9 Loon Hill Rd Ste 301
Dracut, MA 01826-4365
Phone
(978) 323-0360
Fax
(978) 323-0362
NPI assigned
Mar 24, 2026
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X RN1343430 MA Primary

Addresses

Primary practice location

9 Loon Hill Rd Ste 301
Dracut, MA 01826-4365

Mailing address

9 Loon Hill Rd Ste 301
Dracut, MA 01826-4365
Phone (978) 323-0360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
University of Massachusetts Medical School, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

295 Varnum Ave
Lowell, MA 01854-2193

9 Loon Hill Rd
Suite 301
Dracut, MA 01826-4365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN1343430MAMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Medical Group, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1720926348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LOON HILL RD STE 301",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264365",
            "telephone_number": "978-323-0360",
            "fax_number": "978-323-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LOON HILL RD STE 301",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264365",
            "telephone_number": "978-323-0360",
            "fax_number": "978-323-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSALVES",
        "first_name": "JULIA",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MA",
            "license": "RN1343430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

Verify at the official NPI Registry.