Individual provider Active NPI

Joanne Theodate, FNP-C

  • Family Nurse Practitioner
  • Northborough, MA
National Provider Identifier
1831571561
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2283583 Issued in MA
Practice address
24 W Main St
Northborough, MA 01532-1910
Phone
(866) 389-2727
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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 RN2283583 MA Primary

Addresses

Primary practice location

24 W Main St
Northborough, MA 01532-1910

Mailing address

24 W Main St
Northborough, MA 01532-1910
Phone (866) 389-2727

Other names 1

  • Joanne Philippeaux Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160126000591 MA Practitioner - Nurse Practitioner 3577866565 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Behavioral Health Services, PLLCGroup PAC ID 8729345822, 89 clinicians
Minuteclinic Diagnostic of Massachusetts, LLCGroup PAC ID 2264594944, 106 clinicians

Practice addresses (Care Compare)

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (888) 964-6681

234 Washington St
Hudson, MA 01749-3735
Phone (866) 389-2727

24 W Main St
Northborough, MA 01532-1910
Phone (866) 389-2727

246 Mill St
Leominster, MA 01453-3310
Phone (866) 389-2727

311 Newbury St
Danvers, MA 01923-1027
Phone (866) 389-2727

414 Union St
Ashland, MA 01721-2154
Phone (866) 389-2727

44 W Boylston St
Worcester, MA 01605-1261
Phone (866) 389-2727

501 Boston Post Rd
Sudbury, MA 01776-3335
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2283583MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charter Health PC CurrentSince Nov 1, 2021 Accepting new patients
Impact Health P.C. Family CurrentSince Apr 21, 2024 Accepting new patients
Ajay Anand MD PC CurrentSince May 30, 2016 Accepting new patients
Healthdrive Behavioral Health Services, PLLC CurrentSince Aug 25, 2025 Accepting new patients
Ajay Anand MD PC PastSince May 30, 2016 Accepting new patients

Locations

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

180 Low St
Newburyport, MA 01950
Phone (978) 465-5361

55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611

103 Myron St
Ste A
West Springfield, MA 01089
Phone (978) 388-1010

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1831571561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321910",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321910",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODATE",
        "first_name": "JOANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2283583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "PHILIPPEAUX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northborough, MA

Sources for this page

Verify at the official NPI Registry.