Individual provider Active NPI

Analia Baptista Gray, NP

  • Adult Health Nurse Practitioner
  • Milford, CT
National Provider Identifier
1699023168
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
005026 Issued in CT
Practice address
135 Cedarhurst LN
Milford, CT 06461-2723
Phone
(203) 895-4360
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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 005026 CT Primary

Addresses

Primary practice location

135 Cedarhurst LN
Milford, CT 06461-2723

Mailing address

135 Cedarhurst LN
Milford, CT 06461-2723
Phone (203) 895-4360

Other names 1

  • Ms. Analia Baptista Xavier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20120921000765 CT Practitioner - Nurse Practitioner 2668620360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Health Care Management LLCGroup PAC ID 8022497874, 38 clinicians

Practice addresses (Care Compare)

4 Hazel Ave
Naugatuck, CT 06770-4706
Phone (203) 723-1456

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5026CTMDPediatric Occupational Therapist
005026CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Health Care Management,LLC Adult Health CurrentSince May 1, 2022 Accepting new patients
Amb Medical Services Adult Health Past Accepting new patients

Locations

845 Paddock Ave
Meriden, CT 06450
Phone (203) 238-2645

4 Hazel Ave
Naugatuck, CT 06770
Phone (203) 720-3411

1 Emerson Dr
Windsor, CT 06095
Phone (860) 688-6443

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1699023168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CEDARHURST LN",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612723",
            "telephone_number": "203-895-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CEDARHURST LN",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612723",
            "telephone_number": "203-895-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ANALIA",
        "middle_name": "BAPTISTA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "005026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANALIA",
            "last_name": "XAVIER",
            "middle_name": "BAPTISTA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.