Active NPI
Anne Marie Grossi, APRN
- Pediatric Nurse Practitioner
- Putnam, CT
National Provider Identifier
1962572834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 000534
- Practice address
- 320 Pomfret Street
Putnam, CT 06260 - Phone
- (860) 963-6390
- Fax
- (860) 963-6343
- NPI assigned
- Nov 8, 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 000534 | CT | Primary |
Addresses
Primary practice location
320 Pomfret Street
Putnam, CT 06260
Mailing address
320 Pomfret Street
Putnam, CT 06260
Phone (860) 963-6390
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008034756 | Medicaid | CT | |
| 004149870 | Medicaid | CT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000534 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1962572834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 POMFRET STREET",
"city": "PUTNAM",
"state": "CT",
"postal_code": "06260",
"telephone_number": "860-963-6390",
"fax_number": "860-963-6343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 POMFRET STREET",
"city": "PUTNAM",
"state": "CT",
"postal_code": "06260",
"telephone_number": "860-963-6390",
"fax_number": "860-963-6343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSI",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "000534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008034756",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004149870",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.