PLATINUM WELLNESS,PLLC
NPI 1164396172
Nurse Practitioner - Adult Health in Canton, MA

Active since October 02, 2025
715B WASHINGTON ST, CANTON, MA 02021(617) 233-4400(617) 233-4400 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Platinum Wellness,pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLATINUM WELLNESS,PLLC (NPI 1164396172) is a healthcare organization registered as an adult health in Canton, Massachusetts and active in the NPI registry since October 2025. The organization lists Analesa Baraka, Owner, as its authorized official.

NPPES Registry Identity

NPI1164396172
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NamePLATINUM WELLNESS,PLLC
Location Address715B WASHINGTON STCanton, MA 02021-3037
Mailing Address75 N Main St # 512Randolph, MA 02368-4605 · (617) 233-4400 · Fax (617) 233-4400
Fax(617) 233-4400
Organization SubpartYesParent: Platinum Wellness, Pllc
Authorized OfficialAnalesa BarakaOwner · (617) 233-4400
Enumeration DateOctober 2, 2025
NPPES CertifiedSeptember 16, 2025
NPI 1164396172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
715B WASHINGTON ST, Canton, MA 02021

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
715B WASHINGTON ST
CANTON, MA 02021
Social Worker (Clinical)
715B WASHINGTON ST
CANTON, MA 02021
Social Worker (Clinical)
715B WASHINGTON ST
CANTON, MA 02021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Platinum Wellness,pllc's NPI number?

The NPI number for Platinum Wellness,pllc is 1164396172. It was assigned to this organization in the NPPES registry on October 2, 2025.

Where is Platinum Wellness,pllc located?

Platinum Wellness,pllc is located at 715B Washington St, Canton, MA 02021. The listed phone number is (617) 233-4400.

What is Platinum Wellness,pllc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Platinum Wellness,pllc was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.