Amy Krupski, CNP

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

RN2295178 Issued in MA

Practice address

36 Adams Street
Quincy, MA 02169

Phone

(617) 773-0711

Fax

(617) 472-5400

NPI assigned

Jul 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Surles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Plymouth Dermatology Specialists PLLC

  • Dermatology Physician
  • Plymouth, MA
  • NPI 1417741414
  NPD

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1366825838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ADAMS STREET",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-773-9805",
            "fax_number": "617-773-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ADAMS STREET",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-773-0711",
            "fax_number": "617-472-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPSKI",
        "first_name": "AMY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MA",
            "license": "RN2295178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SURLES",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olga Krikunenko
• Kristen Catlin, Licsw Consulting Inc
• Kristen Ihde, PSYD LLC
• Kelly Kronemeyer
• Hannah Marie Krueger, MS
• Meghan Krystyniak
• Qiao Ting Kuang, M.D.
• Geetanjali Kapoor Kulkarni, M.D.
• Jaime Daunt Kullak, RN,WHNP
• Yue Kung-Zhu

• Gerontology Clinical Nurse Specialist in Quincy, MA
• Providers in Quincy, MA by specialty
• Gerontology Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.