Active NPI
Grace Naamerley Class-Peters
- Registered Nurse
- Ossining, NY
National Provider Identifier
1659550770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 574655
- Practice address
- 22 Washington Ave
Ossining, NY 10562-5508 - Phone
- (646) 942-4968
- NPI assigned
- Oct 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 574655 | NY | Primary |
Addresses
Primary practice location
22 Washington Ave
Ossining, NY 10562-5508
Mailing address
11847 Riverton St
#2
Saint Albans, NY 11412-4023
Phone (718) 276-4473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02534045 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 574655 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health and Homecare LLC | Current | 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.
-
- Home Health Agency
- Smyrna, DE
- NPI 1366198780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1659550770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11847 RIVERTON ST",
"address_2": "#2",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114124023",
"telephone_number": "718-276-4473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 WASHINGTON AVE",
"city": "OSSINING",
"state": "NY",
"postal_code": "105625508",
"telephone_number": "646-942-4968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLASS-PETERS",
"first_name": "GRACE",
"middle_name": "NAAMERLEY",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "574655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02534045",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ossining, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.