Nicodee Simone Gray-Brooks

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344329 Issued in NY

Practice address

153 Stevens Ave
Mount Vernon, NY 10550-2543

Phone

(914) 668-8080

NPI assigned

Apr 17, 2019

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

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CT Medical Group Inc.Group PAC ID 9739663105, 35 clinicians

RPM Care Coordination PCGroup PAC ID 6002205606, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_ngraybr@landmarkhealth-direct.org

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.

• RPM Care Coordination, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Danbury, CT
  • NPI 1043882392
  Medicare reassignment Care Compare group NPD
• CT Medical Group Inc.

  • Family Medicine Physician
  • East Haven, CT
  • NPI 1962265934
  Medicare reassignment Care Compare group
• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  CT

  Medicare reassignment NPD

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

• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1346441953
  Care Compare affiliation
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1427041581
  Care Compare affiliation
• Norwalk Hospital Association

  • Land Ambulance
  • Norwalk, CT
  • NPI 1477546521

  Hospital

  Care Compare affiliation
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1649263880
  Care Compare affiliation

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1710540554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ADAMSON AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068544601",
            "telephone_number": "914-513-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 STEVENS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502543",
            "telephone_number": "914-668-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY-BROOKS",
        "first_name": "NICODEE",
        "middle_name": "SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gramatan Health Supplies LLC
• Gramatan Pharmacy Corp
• Michele Grant
• Teresa Grant, LMSW
• Daryl Wesley Graves, MD
• Dorett Gray-Harris
• Harline E Gray, LPN
• Greater Ny Nursing
• Tasha Green-Watson
• Douglas Andrew Green

• Family Nurse Practitioner in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.