Individual provider Active NPI

Alecia Antoinette Swaby Grier

  • Psychiatric/Mental Health Nurse Practitioner
  • Derby, CT
National Provider Identifier
1104689397
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12910 Issued in CT
Practice address
231 Hawkins St
Derby, CT 06418-1517
Phone
(203) 522-8931
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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 135791 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12910 CT Primary

Addresses

Primary practice location

231 Hawkins St
Derby, CT 06418-1517

Mailing address

231 Hawkins St
Derby, CT 06418-1517
Phone (203) 522-8931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240815002918 CT Practitioner - Nurse Practitioner 5395283733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Center of OxfordGroup PAC ID 4486996329, 6 clinicians

Practice addresses (Care Compare)

4 Corporate Dr
Suite 486
Shelton, CT 06484-6266
Phone (203) 951-1858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135791CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Harvest Healthcare LLC CurrentSince Jul 22, 2024 Accepting new patients
Wellness Center of Oxford CurrentSince Apr 6, 2025 Accepting new patients
Creative Synapses Solutions LLC Psychiatric/Mental Health PastSince Feb 4, 2024 Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

350 Center Rock Grn
Ste 9
Oxford, CT 06478
Phone (203) 951-1858

4 Corporate Dr
Ste 486
Shelton, CT 06484
Phone (203) 951-1858

4 Corporate Dr
Ste 186
Shelton, CT 06484
Phone (203) 327-4444

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1104689397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 HAWKINS ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181517",
            "telephone_number": "203-522-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 HAWKINS ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181517",
            "telephone_number": "203-522-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWABY GRIER",
        "first_name": "ALECIA",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "135791",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

Verify at the official NPI Registry.