Taylor Johnson Antonellis, FNP-C
Taylor Johnson Antonellis, FNP-C is a Nurse Practitioner in Waltham, Massachusetts. Qualified in 2022, 4 years ago. Practices with Charles River Community Health, Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 4
- Licensed in
- MA
- In the registry since
- 2022
What do these letters mean?
- FNP-C — Family Nurse Practitioner, Certified
- A family nurse practitioner certified by the AANP.
Practice location Address checks out
43 Foundry Ave Ste 110Waltham, MA 02453-8313
Phone: (781) 693-3800
Fax: (617) 562-1398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence RN2350068 (MA) |
|---|
Record details
| NPI number | 1144957036 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FNP-C |
| Sole proprietor | No |
| NPI enumerated | August 2, 2022 |
| Last updated in NPPES | April 10, 2026 |
| Certification date | April 10, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Charles River Community Health, Inc — 33 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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