MRS. SUSAN ELIZABETH DE GRUCHY (NPI# 1861473662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861473662 |
Entity Type | Individual |
Full Name | MRS. SUSAN ELIZABETH DE GRUCHY |
Credential | FNP |
Practice Address |
332 Hanover St Boston MA 02113-1901 |
Mailing Address |
24 Meadow Hill Rd Shrewsbury MA 01545-6325 |
Practice Telephone | 6176438000 |
Mailing Telephone | 6179396949 |
Enumeration Date | 2005-11-09 |
Last Update Date | 2008-11-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
212417 | MA | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
212417 | MA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104822139 | Susan Jennifer De Gruchy | Chiropractor | 5745 N 1st St, Fresno, CA 93710-6203 | 2005-06-23 |
Street Address |
332 HANOVER ST |
City | BOSTON |
State | MA |
Zip Code | 02113-1901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265428072 | Jean M Bernhardt | Nurse Practitioner | 332 Hanover St, Boston, MA 02113-1901 | 2005-09-27 |
1346856499 | Bianca Mara Dias-pigott | Registered Nurse | 332 Hanover St, Boston, MA 02113-1901 | 2020-09-23 |
1831708684 | Darren James Maggio | Registered Nurse | 332 Hanover St, Boston, MA 02113-1901 | 2020-07-28 |
1760977441 | Karen Paola Bravo Sosa | Nurse Practitioner | 332 Hanover St, Boston, MA 02113-1901 | 2018-06-26 |
1124510847 | Alexandra Jamieson | Social Worker | 332 Hanover St, Boston, MA 02113 | 2018-05-30 |
1255832481 | Lesley Jennifer Galdamez | Dental Hygienist | 332 Hanover St, Boston, MA 02113-1901 | 2018-02-22 |
1508305103 | North End Community Health Committee Inc | Pharmacy | 332 Hanover St, Boston, MA 02113-1901 | 2017-02-15 |
1003361551 | Christine Elizabeth O'connor | Registered Nurse | 332 Hanover St, Boston, MA 02113 | 2016-08-24 |
1912307562 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 332 Hanover St, Boston, MA 02113-1901 | 2014-09-02 |
1164830659 | Nicole Simonson | Social Worker | 332 Hanover St, Boston, MA 02113-1901 | 2014-07-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790934602 | Adela Agolli | Dentist | 44 Prince Street, Apt 510, Boston, MA 02113 | 2008-09-16 |
1417103193 | Loren Jean D'angelo | Nurse Practitioner | 300 Longwood Ave -, Children's Hospital Boston Fegan 707, Boston, MA 02113 | 2008-08-13 |
1073635793 | Anthony Vincent Bova | Dentist | 79 A Prince Street, Boston, MA 02113 | 2007-04-04 |
1932274941 | Janet Mou Lan Kwan | Nurse Practitioner | 70 Fulton Street, Boston, MA 02113 | 2006-11-22 |
1780606608 | North End Community Health Committee Inc | Preventive Medicine | 332 Hanover Street, Boston, MA 02113 | 2006-07-24 |
1427278191 | Amy Elizabeth Snell | Social Worker | 332 Hanover Street, Boston, MA 02113 | 2007-04-26 |
1154496172 | Clara M Gona | Nurse Practitioner | 70 Fulton Street, Boston, MA 02113 | 2006-11-22 |
1497390835 | Sophie Edelstein-rosenberg | Behavior Technician | 17 Snow Hill St Apt 3, Boston, MA 02113-1144 | 2019-11-08 |
1992083489 | Sarah Michelle Emswiler | Optometrist | 201 Salem St, Unit 3, Boston, MA 02113-1171 | 2011-08-01 |
1891971032 | Jamie Lynn Dolan | Speech-Language Pathologist | 181 Salem St, Unit 12, Boston, MA 02113-1292 | 2008-01-17 |
Find all providers in zip 02113 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558968461 | Naira Aleksanyan | Nurse Practitioner | 5 Ellis St, Boston, MA 02119-3728 | 2020-10-04 |
1154930048 | Patricia M Ciarleglio | Nurse Practitioner | 51 Franklin St Ste 400, Boston, MA 02110-1335 | 2020-07-27 |
1689292161 | Barbara Regina Massa | Nurse Practitioner | 738 E 5th St, Boston, MA 02127-3260 | 2020-07-10 |
1114541976 | Ellie Gonyeau | Nurse Practitioner | 17 S Russell St, Boston, MA 02114-3990 | 2020-06-07 |
1295357390 | Margaret Sherwood | Nurse Practitioner | 155 W Concord St # 1, Boston, MA 02118-1507 | 2020-05-12 |
1760017008 | Venifa White | Nurse Practitioner | 40 Kingsdale St Apt 4, Boston, MA 02124-1700 | 2020-03-06 |
1063059467 | Shevonne Renee Linnane | Nurse Practitioner | 619 Adams St Apt 1, Boston, MA 02122-2569 | 2019-12-04 |
1730737602 | Melanie Matthews | Nurse Practitioner | 14 Worthington St, Boston, MA 02120-1605 | 2019-09-03 |
1114585940 | Jessica Paige Oliver | Nurse Practitioner | 2557 State Line Rd, Boston, GA 31626-2441 | 2019-06-05 |
1760944748 | Melissa Stanvick | Nurse Practitioner | 117 Park Dr Apt 5, Boston, MA 02215-5114 | 2019-04-01 |
Find all providers in BOSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.