Individual provider Active NPI

Grace L Muritu, LPN

  • Licensed Practical Nurse
  • Billerica, MA
National Provider Identifier
1225267248
Registry record updated Jul 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
67928 Issued in MA
Practice address
4 Riverhurst Rd
Apt 411
Billerica, MA 01821-3464
Phone
(617) 828-0811
NPI assigned
Jul 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 67928 MA Primary

Addresses

Primary practice location

4 Riverhurst Rd
Apt 411
Billerica, MA 01821-3464

Mailing address

4 Riverhurst Rd
Apt 411
Billerica, MA 01821-3464
Phone (617) 828-0811

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
67928MAMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247356800000",
    "number": "1225267248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIVERHURST RD",
            "address_2": "APT 411",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018213464",
            "telephone_number": "617-828-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIVERHURST RD",
            "address_2": "APT 411",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018213464",
            "telephone_number": "617-828-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURITU",
        "first_name": "GRACE",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-12",
        "last_updated": "2009-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "67928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.