IndividualActive
Jessica Canuto, AGNP-C
NPI 1154134393 · Geriatric Medicine (Family Medicine) Physician · Brockton, MA
Provider details
- NPI number
- 1154134393
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN2361476 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
45 Edson St
Brockton, MA 02302-4109
Phone: (774) 274-1882
Street-level locationGet directions
Mailing address
45 Edson St
Brockton, MA 02302-4109
Registry dates
- Enumerated
- 2025-01-30
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.