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MS. JULIA TADDONIO
NPI 1265749501
Student in an Organized Health Care Education/Training Program in South Boston, MA

Active since September 08, 2010Opted out of Medicare · through Sep 27, 2027
58 OLD COLONY AVE, SOUTH BOSTON, MA 02127(617) 268-1700(617) 268-1991 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Julia Taddonio NPPES

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

MS. JULIA TADDONIO (NPI 1265749501) is an individual student in an organized health care education/training program in South Boston, Massachusetts and active in the NPI registry since September 2010. She has opted out of Medicare through September 27, 2027 and remains eligible to order and refer and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265749501
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. JULIA TADDONIO
Location Address58 OLD COLONY AVESouth Boston, MA 02127-2406
Mailing Address58 Old Colony AveSouth Boston, MA 02127-2406 · (617) 268-1700 · Fax (617) 268-1991
Phone(617) 268-1700
Fax(617) 268-1991
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 8, 2010
✔ NPI 1265749501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
58 OLD COLONY AVE, South Boston, MA 02127
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Julia Taddonio has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 27, 2019 through September 27, 2027.

Opt-Out Effective DateSeptember 27, 2019
Opt-Out In Effect ThroughSeptember 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 15

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

MS. ROBERTA REICH L.M.H.C.
Counselor (Mental Health)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
BLAKE RITTER
Nurse Practitioner (Psychiatric/Mental Health)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
MR. DANIEL T SULLIVAN LICSW
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
JOHN AUGUSTUS NORTHRIDGE LICSW
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
JOANNA BENGEL
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
MS. MARIE T RAPAZZINI APRN,BC
Registered Nurse (Psychiatric/Mental Health, Adult)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
MRS. MARY ELIZABETH KELLEHER LICSW
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
DR. JAMES ALLAN GARDNER, JR. PHD LICSW
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700

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 Julia Taddonio's NPI number?

The NPI number for Julia Taddonio is 1265749501. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Where is Julia Taddonio located?

Julia Taddonio practices at 58 Old Colony Ave, South Boston, MA 02127. The listed phone number is (617) 268-1700.

What is Julia Taddonio's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Julia Taddonio enrolled in Medicare?

No. Julia Taddonio has opted out of Medicare through September 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Julia Taddonio was last updated on September 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.