Individual provider Active NPI

Julie Ann Paul, CNP, CMP

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, MA
National Provider Identifier
1891734323
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN258056 Issued in MA
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

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258056MAMDEmergency Medicine Physician
RN258056MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Perinatal CurrentSince Jun 16, 2024 Accepting new patients
Rivia Medical PLLC CurrentSince Apr 23, 2023 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.

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

Verify at the official NPI Registry.