Individual provider Active NPI

Aggie J Sutherland

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1053905331
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2363775 Issued in MA
Practice address
125 Parker Hill Ave Ste 2
Boston, MA 02120-2865
Phone
(617) 754-5000
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN63824 RI
Nurse Practitioner 363L00000X RN2363775 MA Primary

Addresses

Primary practice location

125 Parker Hill Ave Ste 2
Boston, MA 02120-2865

Mailing address

125 Parker Hill Ave Ste 2
Boston, MA 02120-2865
Phone (617) 754-5000

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
I20220812002637 MA Practitioner - Nurse Practitioner 5496138109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New England Baptist Medical Associates, Inc.Group PAC ID 2365439783, 77 clinicians

Practice addresses (Care Compare)

125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 754-5800

Hospital & facility affiliations

  • New England Baptist Hospital Hospital, Boston, MA, CCN 220088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN63824RIMDRegistered Nurse
RN2363775MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New England Baptist Medical Associates, Inc. CurrentSince Oct 1, 2023 Accepting new patients
C&S Anesthesia LLC CurrentSince Jun 1, 2022 Accepting new patients
Franklin Pain Associates LLC CurrentSince Jun 1, 2022 Accepting new patients
Neb Radiology PC PastSince Sep 5, 2023 Accepting new patients

Locations

750 Union St
Lowr
Franklin, MA 02038
Phone (508) 541-0004

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

2870 Post Rd
Warwick, RI 02886
Phone (401) 298-8869

Interoperability endpoints

  • Direct secure messaging: asutherland334411@direct.bilh.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1053905331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021202865",
            "telephone_number": "617-754-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021202865",
            "telephone_number": "617-754-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "AGGIE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN63824",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2363775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.