Individual provider Active NPI

Joanna Rose Juralewicz, LPN, CLC,CPD

  • Specialist
  • Amesbury, MA
National Provider Identifier
1861135733
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
256 Elm St
Amesbury, MA 01913-4304
Phone
(978) 265-1578
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

256 Elm St
Amesbury, MA 01913-4304

Mailing address

256 Elm St
Amesbury, MA 01913-4304
Phone (978) 265-1578

Other identifiers 1

IdentifierTypeStateIssuer
RN121719OtherMARN121719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1861135733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 ELM ST",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019134304",
            "telephone_number": "978-265-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 ELM ST",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019134304",
            "telephone_number": "978-265-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURALEWICZ",
        "first_name": "JOANNA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LPN, CLC,CPD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN121719",
            "identifier": "RN121719",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.