Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Gray

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508600677

Alicia Gray is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2025, 1 year ago. Practices with Northeast Health Services LLC, a 469-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

12 Edwin St
Boston, MA 02124-2510
Phone: (617) 446-3570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2311177 (MA)

Record details

NPI number1508600677
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 24, 2024
Last updated in NPPESOctober 5, 2025
Certification dateOctober 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northeast Health Services Llc — 469 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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