Individual provider Active NPI

Catherine Gray, RN

  • Family Nurse Practitioner
  • Bedford, MA
National Provider Identifier
1407587629
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2347786 Issued in MA
Practice address
154 Great Rd
Bedford, MA 01730-2725
Phone
(781) 430-8161
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2347786 MA
Family Nurse Practitioner 363LF0000X RN2347786 MA Primary

Addresses

Primary practice location

154 Great Rd
Bedford, MA 01730-2725

Mailing address

211 Rantoul St Apt 502
Beverly, MA 01915-4698
Phone (978) 500-9403

Other practice location 1

16 Main St
Stoneham, MA 02180-3334
Phone (781) 279-4000

Other practice location 2

1030 Main St
Waltham, MA 02451-7447
Phone (781) 894-6900

Other practice location 3

90 Middlesex Tpke
Burlington, MA 01803-4938
Phone (781) 270-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902001228 MA Practitioner - Nurse Practitioner 9032593413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patriot Urgent Care Professionals PCGroup PAC ID 8820248784, 41 clinicians

Practice addresses (Care Compare)

154 Great Rd
Bedford, MA 01730-2725
Phone (781) 430-8161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2347786MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Urgent Care Professionals PC CurrentSince Aug 1, 2022 Accepting new patients
Patriot Urgent Care Professionals, PC Current Accepting new patients
Patriot Urgent Care Professionals, PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

16 Main St
Stoneham, MA 02180
Phone (781) 279-4000

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

Organizations & group practices 3

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1407587629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 RANTOUL ST APT 502",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154698",
            "telephone_number": "978-500-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 GREAT RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302725",
            "telephone_number": "781-430-8161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Main St",
            "address_purpose": "LOCATION",
            "city": "Stoneham",
            "state": "MA",
            "postal_code": "021803334",
            "country_code": "US",
            "telephone_number": "781-279-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Main St",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024517447",
            "country_code": "US",
            "telephone_number": "781-894-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Middlesex Tpke",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018034938",
            "country_code": "US",
            "telephone_number": "781-270-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CATHERINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2347786",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2347786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.