Christine Ann Surrette

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN282941 Issued in MA

Practice address

11 Sandersdale Rd
Southbridge, MA 01550

Phone

(774) 420-2311

NPI assigned

Jul 10, 2018

Last updated

Jul 10, 2018By the provider in NPPES

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 identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Am Medical PC

  • Internal Medicine Physician
  • Agawam, MA
  • NPI 1104476613
  Medicare reassignment NPD
• RMG Home Care, Inc

  • Home Health Agency
  • Southbridge, MA
  • NPI 1902044415
  NPD (past)

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1689160954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SANDERSDALE RD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "01550",
            "telephone_number": "774-420-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SANDERSDALE RD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "01550",
            "telephone_number": "774-420-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRETTE",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN282941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110116445A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean M Stevenson, D.O.
• Sturbridge Professional Services, P.C.
• Courtney Sturgis
• Sunnyside Up Counseling, LLC
• Pratibha Surathi, MD
• Kathryn Edith Swanson, MSN DCNP
• Elizabeth Anne Swenson, MA
• Mohsin Ali Syed Alvi, MD
• Candice Syriac, LICSW
• Megan Szpakowski

• Family Nurse Practitioner in Southbridge, MA
• Providers in Southbridge, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.