Individual provider Active NPI

Emily Grossman, CPNP

  • Pediatric Nurse Practitioner
  • Westford, MA
National Provider Identifier
1023643624
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN2277488 Issued in MA
Practice address
133 Littleton Rd Ste 101
Westford, MA 01886-3198
Phone
(978) 577-0437
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 2277488 MA
Pediatric Nurse Practitioner 363LP0200X RN2277488 MA Primary

Addresses

Primary practice location

133 Littleton Rd Ste 101
Westford, MA 01886-3198

Mailing address

133 Littleton Rd Ste 101
Westford, MA 01886-3198

Other practice location 1

72 Congress St
Amesbury, MA 01913-1971
Phone (978) 604-1078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220413001837 MA Practitioner - Nurse Practitioner 7214323575 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2277488MAMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics West, PC CurrentSince Apr 7, 2022 Accepting new patients
Emerson Hospital Current Accepting new patients
Child and Family Psychological Services, PLLC PastSince Jun 15, 2020 Accepting new patients
Specialty West PLLC Past Accepting new patients

Locations

19 Pierce Ave
Ste B
Fitchburg, MA 01420
Phone (978) 577-0437

120 Boston Rd
Ste 1
Groton, MA 01450
Phone (978) 577-0437

133 Littleton Rd
Ste 103
Westford, MA 01886
Phone (978) 619-5447

133 Littleton Rd
Ste 101
Westford, MA 01886
Phone (978) 577-0437

Interoperability endpoints

  • Direct secure messaging: grossman.emily.epho@direct.partners.masshiway.net

Organizations & group practices 4

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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1023643624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD STE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD STE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863198",
            "telephone_number": "978-577-0437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Congress St",
            "address_purpose": "LOCATION",
            "city": "Amesbury",
            "state": "MA",
            "postal_code": "019131971",
            "country_code": "US",
            "telephone_number": "978-604-1078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "EMILY",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MA",
            "license": "2277488",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2277488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

Verify at the official NPI Registry.