Active NPI
Julie Ann Paul, CNP, CMP
- Psychiatric/Mental Health Nurse Practitioner
- Concord, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN258056
- Practice address
- 300 Baker Ave Ste 300
Concord, MA 01742-2124 - Phone
- (864) 336-2731
- Fax
- (833) 740-3387
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN258056 | MA | |
| Advanced Practice Midwife | 367A00000X | 258056 | MA | |
| Advanced Practice Midwife | 367A00000X | RN258056 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN258056 | MA | Primary |
Addresses
Primary practice location
300 Baker Ave Ste 300
Concord, MA 01742-2124
Mailing address
144 Oakland St
Wellesley, MA 02481-5323
Phone (864) 336-2731
Other practice location 1
30 Captain Bannon Cir
Merrimack, NH 03054-2990
Phone (617) 688-3737
Other practice location 2
150 Tarrytown Rd
Manchester, NH 03103-2713
Phone (864) 336-2731
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: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258056 | MA | MD | Emergency Medicine Physician |
| RN258056 | MA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Perinatal | Current | Accepting new patients | |
| Rivia Medical PLLC | Current | Accepting new patients |
Locations
2 Burlington Woods Dr
Ste 100
Burlington, MA 01803
Phone (617) 821-4923
274 Madison Ave
Rm 1501
New York, NY 10016
Phone (212) 202-1773
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Merrimack, NH
- NPI 1386487676
-
- Nutritionist
- New York, NY
- NPI 1871280818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1891734323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 OAKLAND ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815323",
"telephone_number": "864-336-2731",
"fax_number": "833-740-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BAKER AVE STE 300",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422124",
"telephone_number": "864-336-2731",
"fax_number": "833-740-3387"
}
],
"practiceLocations": [
{
"address_1": "30 Captain Bannon Cir",
"address_purpose": "LOCATION",
"city": "Merrimack",
"state": "NH",
"postal_code": "030542990",
"country_code": "US",
"telephone_number": "617-688-3737",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Tarrytown Rd",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031032713",
"country_code": "US",
"telephone_number": "864-336-2731",
"fax_number": "833-740-3387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAUL",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "CNP, CMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN258056",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "258056",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "RN258056",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN258056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.