Active NPI
Grace Iyamu, RN
- Home Health Agency
- Boston, MA
National Provider Identifier
1760792410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- RN2261774
- Practice address
- 535 Boylston St
5TH Floor
Boston, MA 02116-3720 - Phone
- (617) 259-1001
- NPI assigned
- Oct 15, 2010
- Last updated
- Oct 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | RN2261774 | MA | Primary |
Addresses
Primary practice location
535 Boylston St
5TH Floor
Boston, MA 02116-3720
Mailing address
535 Boylston St
5TH Floor
Boston, MA 02116-3720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2261774 | MA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Staffing Group | Home Health | Past | Accepting new patients |
| Keystone Home Care | Home Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Boston, MA
- NPI 1669701884
-
- Home Health Agency
- Boston, MA
- NPI 1760619399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1760792410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 BOYLSTON ST",
"address_2": "5TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 BOYLSTON ST",
"address_2": "5TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163720",
"telephone_number": "617-259-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IYAMU",
"first_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MA",
"license": "RN2261774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.