Individual provider Active NPI

Grace St. Pierre, FNP-C

  • Family Nurse Practitioner
  • Eastville, VA
National Provider Identifier
1750815429
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184094 Issued in VA
Practice address
17068 Lankford Highway
Eastville, VA 23347
Phone
(757) 331-1086
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 060930-23 NH
Family Nurse Practitioner 363LF0000X 0024184094 VA Primary

Addresses

Primary practice location

17068 Lankford Highway
Eastville, VA 23347

Mailing address

149 Great Country Rd
Charlestown, NH 03603-4164
Phone (603) 558-0278

Other names 1

  • Grace Perry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20170623000025 NH Practitioner - Nurse Practitioner 1951679539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Medical Care Systems Inc. CurrentSince May 15, 2017 Accepting new patients
Springfield Medical Care Systems Inc CurrentSince May 15, 2017 Accepting new patients
Eastern Shore Rural Health System Incorporated. Past Accepting new patients

Locations

125 Main St
Charlestown, NH 03603
Phone (603) 542-1878

250 Ceda Rd
Charlestown, NH 03603
Phone (603) 826-5711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1750815429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 GREAT COUNTRY RD",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036034164",
            "telephone_number": "603-558-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17068 LANKFORD HIGHWAY",
            "city": "EASTVILLE",
            "state": "VA",
            "postal_code": "23347",
            "telephone_number": "757-331-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. PIERRE",
        "first_name": "GRACE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "060930-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "PERRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eastville, VA

Sources for this page

Verify at the official NPI Registry.