Active NPI
Grace Rena Mae Cater, DC
- Chiropractor
- Quincy, MA
National Provider Identifier
1174637839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1765
- Practice address
- 1212 Hancock St
First Spine & Rehab
Quincy, MA 02169 - Phone
- (617) 745-0555
- Fax
- (617) 745-0554
- NPI assigned
- Aug 19, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1765 | MA | Primary |
Addresses
Primary practice location
1212 Hancock St
First Spine & Rehab
Quincy, MA 02169
Mailing address
6 Post Oak Lane #9
Natick, MA 01760
Phone (617) 823-5020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36300 | Other | MA | BCBS |
| 2980328 | Other | MA | AETNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1765 | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174637839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 POST OAK LANE #9",
"city": "NATICK",
"state": "MA",
"postal_code": "01760",
"telephone_number": "617-823-5020",
"fax_number": "508-651-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 HANCOCK ST",
"address_2": "FIRST SPINE & REHAB",
"city": "QUINCY",
"state": "MA",
"postal_code": "02169",
"telephone_number": "617-745-0555",
"fax_number": "617-745-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATER",
"first_name": "GRACE",
"middle_name": "RENA MAE",
"name_prefix": "Ms.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y36300",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2980328",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.