Active NPI
Susan M Gruen, F.N.P.
- Family Nurse Practitioner
- Florence, MA
National Provider Identifier
1851352850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 131025
- Practice address
- 70 Main St
Northampton Health Center
Florence, MA 01062-1466 - Phone
- (413) 586-8400
- Fax
- (413) 585-5435
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 131025 | MA | Primary |
Addresses
Primary practice location
70 Main St
Northampton Health Center
Florence, MA 01062-1466
Mailing address
PO Box 8019
Springfield, MA 01102-8000
Phone (866) 431-4077
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1293396 | Other | MA | FALLON |
| 131025 | Other | MA | CONNECTICARE, INC. |
| 500016108 | Other | MA | RAILROAD MEDICARE |
| NP2352 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0351491 | Medicaid | MA |
Other names 1
- Ms. Susan M Reilly
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131025 | MA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1851352850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8019",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011028000",
"telephone_number": "866-431-4077",
"fax_number": "413-774-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 MAIN ST",
"address_2": "NORTHAMPTON HEALTH CENTER",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010621466",
"telephone_number": "413-586-8400",
"fax_number": "413-585-5435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUEN",
"first_name": "SUSAN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "131025",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1293396",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE, INC.",
"identifier": "131025",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500016108",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NP2352",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0351491",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "REILLY",
"middle_name": "M",
"prefix": "MS.",
"credential": "F,N.P.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Florence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.