Active NPI
Aggie J Sutherland
- Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2363775
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 754-5800
Hospital & facility affiliations
- New England Baptist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN63824 | RI | MD | Registered Nurse |
| RN2363775 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Baptist Medical Associates, Inc. | Current | Accepting new patients | |
| C&S Anesthesia LLC | Current | Accepting new patients | |
| Franklin Pain Associates LLC | Current | Accepting new patients | |
| Neb Radiology PC | Past | 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
- 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.
-
- Internal Medicine Physician
- Roxbury Crossing, MA
- NPI 1609854991
-
- Anesthesiology Physician
- Franklin, MA
- NPI 1396241519
-
- Interventional Pain Medicine Physician
- Franklin, MA
- NPI 1396956298
-
- Diagnostic Radiology Physician
- Roxbury Crossing, MA
- NPI 1073590840
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roxbury Crossing, MA
- NPI 1699767491
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.