Justin Puckett
Justin Puckett is a Physician Assistant provider (Physician Assistant) practicing in Everett, MA, registered in the NPPES registry with NPI 1417447475 since 2018.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417447475 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Justin Puckett |
| Sex | Male |
| Practice address | 103 GARLAND ST, Everett, MA, 02149 |
| Phone | 6173817133 |
| Enumeration date | 2018-05-15 |
| Last updated in NPPES | 2019-08-21 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Primary | — | — |
Copy-ready billing details
Provider: Justin Puckett NPI: 1417447475 Taxonomy: 363A00000X (Physician Assistant) Address: 103 GARLAND ST, Everett, MA, 02149
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962498378 | Gary Blair | Individual | Emergency Medicine Physician | Everett, MA |
| 1750378469 | Jessica Goren | Individual | Psychiatric Pharmacist | Everett, MA |
| 1588646335 | Claimnet Medical Billing Cardiology Services | Organization | Cardiovascular Disease Physician | Everett, MA |
| 1619944105 | Cambridge Public Health Commission | Organization | Psychiatric Hospital Unit | Everett, MA |
| 1881662864 | Megan Callahan | Individual | Internal Medicine Physician | Everett, MA |
| 1619932852 | Brenda Macpherson | Individual | Athletic Trainer | Everett, MA |
| 1801854989 | Anne Kearney | Individual | Radiography Radiologic Technologist | Everett, MA |
| 1548217276 | Victor Saldanha | Individual | Geriatric Medicine (Internal Medicine) Physician | Everett, MA |
Verify this record
Cross-check NPI 1417447475 against the authoritative CMS record: view Justin Puckett on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1417447475 active?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-08-21.