Individual provider Active NPI

Nina N Grenon, MS, APRN-BC

  • Nurse Practitioner
  • Upton, MA
National Provider Identifier
1447357751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
172924 Issued in MA
Practice address
206 East St
Upton, MA 01568-1212
Phone
(617) 632-3000
Fax
(617) 632-5370
NPI assigned
Sep 20, 2006
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
Nurse Practitioner 363L00000X 172924 MA Primary

Addresses

Primary practice location

206 East St
Upton, MA 01568-1212

Mailing address

206 East Street
Upton, MA 01568
Phone (617) 632-3000

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
I20110719000483 MA Order and Referring Only - Nurse Practitioner 9234023102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: grenon.nina.dfci@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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447357751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 EAST STREET",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "01568",
            "telephone_number": "617-632-3000",
            "fax_number": "617-632-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 EAST ST",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "015681212",
            "telephone_number": "617-632-3000",
            "fax_number": "617-632-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENON",
        "first_name": "NINA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "MS, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "172924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upton, MA

Sources for this page

Verify at the official NPI Registry.