Active NPI
Colleen McNulty Grebus, NP
- Family Nurse Practitioner
- Nashua, NH
National Provider Identifier
1083715544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 029928-23-03
- Practice address
- 505 W Hollis St
Suite 111
Nashua, NH 03062-1358 - Phone
- (603) 579-9648
- Fax
- (603) 579-9647
- NPI assigned
- Sep 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 029928-23-03 | NH | Primary |
Addresses
Primary practice location
505 W Hollis St
Suite 111
Nashua, NH 03062-1358
Mailing address
PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30011671 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1083715544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3677",
"city": "NASHUA",
"state": "NH",
"postal_code": "030613677",
"telephone_number": "603-577-7900",
"fax_number": "603-577-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W HOLLIS ST",
"address_2": "SUITE 111",
"city": "NASHUA",
"state": "NH",
"postal_code": "030621358",
"telephone_number": "603-579-9648",
"fax_number": "603-579-9647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREBUS",
"first_name": "COLLEEN",
"middle_name": "MCNULTY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "029928-23-03",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30011671",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.