Anne Sutherland Bruntrager, MSN, RN, CPNP-PC, CL

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN2328766 Issued in MA

Practice address

1 Brookline PL Ste 327
Brookline, MA 02445-7238

Phone

(617) 735-8585

NPI assigned

Aug 7, 2020

Last updated

Oct 7, 2021By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bruntrager.anne.centr@direct.partners.masshiway.net

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.

• Centre Pediatric Associates PC

  • Pediatrics Physician
  • Brookline, MA
  • NPI 1336212422
  NPD

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1912517566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RUTLAND SQ",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183105",
            "telephone_number": "617-818-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL STE 327",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457238",
            "telephone_number": "617-735-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Rutland Sq",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021183105",
            "country_code": "US",
            "telephone_number": "617-818-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNTRAGER",
        "first_name": "ANNE",
        "middle_name": "SUTHERLAND",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, CPNP-PC, CL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2328766",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2328766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN2328766",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "RN2328766",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Kelly Brown
• Nancy L Brown, LICSW
• Olinde Brubaker, PSY.D.
• Roberta Brucker, L.I.C.S.W.
• Mark Brudniak
• Jonathan Brush, PHD
• Jacqueline Chase Buchin, PSYD
• Julie Clare Buchinski, LICSW
• Diane Buchwald, P.T.
• Teresa Louise Buck, LICSW

• Pediatric Nurse Practitioner in Brookline, MA
• Providers in Brookline, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.