Individual provider Active NPI

Sandra McCurbin, FNP

  • School Nurse Practitioner
  • Roxbury, MA
National Provider Identifier
1073652459
Registry record updated Mar 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
License
184272 Issued in MA
Practice address
55 New Dudley St
John D Obryant SBHC
Roxbury, MA 02119
Phone
(617) 534-9509
Fax
(617) 534-9948
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X 184272 MA Primary
Family Nurse Practitioner 363LF0000X 184272 MA

Addresses

Primary practice location

55 New Dudley St
John D Obryant SBHC
Roxbury, MA 02119

Mailing address

1010 Massachusetts Avenue
Boston, MA 02118
Phone (617) 534-2398

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
I20130528000002 MA Practitioner - Nurse Practitioner 5193963551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Healthcare Solutions LLCGroup PAC ID 0042376899, 9 clinicians

Practice addresses (Care Compare)

19 Henry St
Sharon, MA 02067-1714
Phone (781) 562-0468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184272MAMDSchool Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Healthcare Solutions LLC Family CurrentSince Mar 28, 2013 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Child Health Foundation of Boston, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: smccurbin85480@direct.bmc.masshiway.net

Organizations & group practices 3

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364688000000",
    "number": "1073652459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MASSACHUSETTS AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-534-2398",
            "fax_number": "617-534-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NEW DUDLEY ST",
            "address_2": "JOHN D OBRYANT SBHC",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "02119",
            "telephone_number": "617-534-9509",
            "fax_number": "617-534-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURBIN",
        "first_name": "SANDRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "MA",
            "license": "184272",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "184272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

Verify at the official NPI Registry.