Susan Ann Phillips-Gray, R.N.B.C.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

146722 Issued in MA

Practice address

61 Lincoln St
Suite 112
Framingham, MA 01702

Phone

(508) 628-0205

Fax

(508) 626-8224

NPI assigned

May 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1730130568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LINCOLN STREET",
            "address_2": "SUITE 112",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028264",
            "telephone_number": "508-628-0205",
            "fax_number": "508-626-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LINCOLN ST",
            "address_2": "SUITE 112",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-628-0205",
            "fax_number": "508-626-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-GRAY",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "R.N.B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "146722",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "146722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Pham, NP
• Phuong Pham
• Kari Phan, DPM
• Hemlata Phatnani
• Karyn Marie Philblade, RDO
• Shaniece Phillips
• Ei Ei Phyu, M.D.
• Catherine Picciotto
• Kevin Pickard
• Amanda Camila Piekstra Jara de la Vega

• Adult Health Nurse Practitioner in Framingham, MA
• Providers in Framingham, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.