Active NPI
Alice Anne Grant, FNP-C, RN
- Family Nurse Practitioner
- Boston, MA
National Provider Identifier
1265954523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2325940
- Practice address
- 801 Massachusetts Ave
Crosstown 6a
Boston, MA 02118-2605 - Phone
- (617) 414-5951
- Fax
- (617) 414-9201
- NPI assigned
- Jul 8, 2017
- 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 | RN2325940 | MA | Primary |
Addresses
Primary practice location
801 Massachusetts Ave
Crosstown 6a
Boston, MA 02118-2605
Mailing address
720 Harrison Ave
Dob 503
Boston, MA 02118-2371
Phone (617) 414-5405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110146421A | Medicaid | MA |
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, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1265954523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"address_2": "DOB 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371",
"telephone_number": "617-414-5405",
"fax_number": "617-414-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MASSACHUSETTS AVE",
"address_2": "CROSSTOWN 6A",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182605",
"telephone_number": "617-414-5951",
"fax_number": "617-414-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ALICE",
"middle_name": "ANNE",
"credential": "FNP-C, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-08",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2325940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110146421A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.