Individual provider Active NPI

Grace Marie Carver Sanfilippo

  • Family Nurse Practitioner
  • Norwich, CT
National Provider Identifier
1003204652
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7322 Issued in CT
Practice address
17 Case St
Norwich, CT 06360-2208
Phone
(860) 886-2461
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 692706 NY
Family Nurse Practitioner 363LF0000X 340312 NY
Family Nurse Practitioner 363LF0000X RN2321628 MA
Family Nurse Practitioner 363LF0000X 7322 CT Primary

Addresses

Primary practice location

17 Case St
Norwich, CT 06360-2208

Mailing address

17 Case St
Norwich, CT 06360-2208
Phone (860) 886-2461

Other practice location 1

45 Dimock St
Roxbury, MA 02119-1208
Phone (617) 442-8800

Other practice location 2

7 Dwight St Apt 4
Boston, MA 02118
Phone (860) 884-8556

Other practice location 3

111 Wadsworth Ave
#23G
New York, NY 10033-6102
Phone (860) 884-8556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201119001158 CT Practitioner - Nurse Practitioner 1850656307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Services, P.C.Group PAC ID 1850373077, 17 clinicians

Practice addresses (Care Compare)

17 Case St
Norwich, CT 06360-2208
Phone (860) 889-2909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
692706NYMDRegistered Nurse
7322CTMDFamily Nurse Practitioner
RN2321628MAMDFamily Nurse Practitioner
340312NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Services, P.C. CurrentSince Sep 12, 2022 Accepting new patients
Planned Parenthood of Southern New England, Inc. CurrentSince Aug 31, 2020 Accepting new patients

Locations

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

330 Washington St
Ste 340
Norwich, CT 06360
Phone (860) 889-2909

17 Case St
Norwich, CT 06360
Phone (860) 886-2461

Interoperability endpoints

  • Direct secure messaging: grace.carver@xdr.hhchealthdirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1003204652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CASE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602208",
            "telephone_number": "860-886-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CASE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602208",
            "telephone_number": "860-886-2461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Dimock St",
            "address_purpose": "LOCATION",
            "city": "Roxbury",
            "state": "MA",
            "postal_code": "021191208",
            "country_code": "US",
            "telephone_number": "617-442-8800",
            "fax_number": "617-541-8334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Dwight St Apt 4",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "860-884-8556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Wadsworth Ave",
            "address_2": "#23G",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100336102",
            "country_code": "US",
            "telephone_number": "860-884-8556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFILIPPO",
        "first_name": "GRACE",
        "middle_name": "MARIE CARVER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "692706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340312",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2321628",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.