Individual provider Active NPI

Mariah Louise Grispi

  • Primary Care Nurse Practitioner
  • Weymouth, MA
National Provider Identifier
1861034720
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F08190360 Issued in MA
Practice address
330 Washington St
Weymouth, MA 02188-2932
Phone
(781) 626-5160
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F08190360 MA Primary

Addresses

Primary practice location

330 Washington St
Weymouth, MA 02188-2932

Mailing address

23 Oak St
Plympton, MA 02367-1304
Phone (781) 635-0979

Other identifiers 1

IdentifierTypeStateIssuer
N0134435101OtherMATUFTS HEALTH DIRECT

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL http://www.healthexpressma.com/ South Shore Health Express, Inc
CONNECT URL http://www.healthexpressma.com/
CONNECT URL http://www.healthexpressma.com/

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F08190360MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Insight Inc CurrentSince Jul 6, 2023 Accepting new patients

Locations

105 Webster St
Ste 8
Hanover, MA 02339
Phone (781) 312-7457

Organizations & group practices 1

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1861034720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OAK ST",
            "city": "PLYMPTON",
            "state": "MA",
            "postal_code": "023671304",
            "telephone_number": "781-635-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882932",
            "telephone_number": "781-626-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISPI",
        "first_name": "MARIAH",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "F08190360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH DIRECT",
            "identifier": "N0134435101",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.healthexpressma.com/",
            "affiliation": "Y",
            "affiliationName": "South Shore Health Express, Inc",
            "address_1": "182 Summer St # 1277",
            "city": "Kingston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023641277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.healthexpressma.com/",
            "affiliation": "N",
            "address_1": "182 Summer St # 1277",
            "city": "Kingston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023641277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.healthexpressma.com/",
            "affiliation": "N",
            "address_1": "182 Summer St # 1277",
            "city": "Kingston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023641277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.