ANNETTE MARIE GRACE NP NPI 1285608760

NPI Information

NPI: 1285608760
Provider Name: ANNETTE MARIE GRACE, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1250 HANCOCK ST
QUINCY, MA
ZIP 02169
Phone: (617) 774-0600
Get Directions

Annette Marie Grace, NP is a pediatrics nurse practitioner in Quincy, MA. Annette Marie Grace, NP NPI is 1285608760. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1250 HANCOCK ST
QUINCY, MA
ZIP 02169-339
Phone: (617) 774-0600

The NPI 1285608760 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 3/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		129706	MASSACHUSETTS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	129706	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0380661	MEDICAID	MASSACHUSETTS
2	NP9999	OTHER	MASSACHUSETTS	BLUE CROSS
3	PF367	OTHER	MASSACHUSETTS	HARVARD PILGRIM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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