Individual provider Active NPI

Mary Ann Bray, PNP

  • Community Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1356544241
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
123532 Issued in MA
Practice address
253 Summer St
5TH FLR - Cma
Boston, MA 02210-1114
Phone
(888) 897-8947
Fax
(617) 772-5519
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 123532 MA Primary

Addresses

Primary practice location

253 Summer St
5TH FLR - Cma
Boston, MA 02210-1114

Mailing address

150 Warren St
Unit B
Needham, MA 02492-3029
Phone (888) 897-8947

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
123532MAMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Spaulding Rehabilitation Hospital Corporation Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bray.maryann.srh@direct.partners.masshiway.net

Organizations & group practices 1

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356544241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WARREN ST",
            "address_2": "UNIT B",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024923029",
            "telephone_number": "888-897-8947",
            "fax_number": "617-772-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 SUMMER ST",
            "address_2": "5TH FLR - CMA",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101114",
            "telephone_number": "888-897-8947",
            "fax_number": "617-772-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "MARY ANN",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MA",
            "license": "123532",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.

Verify at the official NPI Registry.