Individual provider Active NPI

Evelyn Mary Gregson, N.P.

  • Adult Health Nurse Practitioner
  • Southbridge, MA
National Provider Identifier
1619071099
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
111473 Issued in MA
Practice address
38 Oakes Ave
Southbridge, MA 01550-4012
Phone
(508) 765-9522
Fax
(508) 764-7870
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 111473 MA Primary

Addresses

Primary practice location

38 Oakes Ave
Southbridge, MA 01550-4012

Mailing address

38 Oakes Avenue
Southbridge, MA 01550-4012
Phone (508) 765-9522

Other identifiers 1

IdentifierTypeStateIssuer
51977OtherMAFALLON COMMUNITY HEALTHCA

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

State licenses

LicenseStateTypeSpecialty
111473MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Lebow, MD, CMD, Facp Past Accepting new patients

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619071099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 OAKES AVENUE",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504012",
            "telephone_number": "508-765-9522",
            "fax_number": "508-764-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 OAKES AVE",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504012",
            "telephone_number": "508-765-9522",
            "fax_number": "508-764-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGSON",
        "first_name": "EVELYN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "111473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTHCA",
            "identifier": "51977",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.