KERRY KEATING (NPI# 1215419247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215419247 |
| Entity Type | Individual |
| Full Name | KERRY KEATING |
| Credential | CNP |
| Practice Address |
295 Varnum Ave Lowell MA 01854-2134 |
| Mailing Address |
70 Springdale Rd Dracut MA 01826-2438 |
| Practice Telephone | 9789376000 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN260006 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CERTIFIED NURSE PRACTITIONER | RN260006 | 01 |
| Street Address |
295 VARNUM AVE |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931597 | Jonas J Berman | Radiology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2005-06-02 |
| 1437758125 | Amy Marie Dellogono | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-22 |
| 1720686108 | Emily Rose Claude | Family Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-16 |
| 1265041305 | The Lowell General Hospital | Emergency Medical Technician, Paramedic | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-07-24 |
| 1639714744 | Shara A King | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-12 |
| 1861036451 | Obhg Massachusetts - Lowell PC | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-06 |
| 1871147264 | Ronald Wilson Makarutsa | Registered Nurse | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-24 |
| 1780236786 | Andrea Jennifer Desmond | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-10 |
| 1235791831 | Nicole Nolan | Pharmacist | 295 Varnum Ave, Lowell, MA 01854-2193 | 2019-07-03 |
| 1578123253 | Alec Garabedian | Nurse Anesthetist, Certified Registered | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187207 | Laura Jeannine Neal | Nurse Practitioner | 11399 Kelly Ln, Lowell, AR 72745-8643 | 2020-09-01 |
| 1578184693 | Desiree Lynn Hilborn | Nurse Practitioner | 638 Creekside Dr Apt 208, Lowell, IN 46356-7911 | 2020-04-29 |
| 1730741158 | Kenna Lea Wagner | Nurse Practitioner | 60 Lock St, Lowell, OH 45744-9023 | 2019-07-05 |
| 1184280091 | Joyce Gichana | Nurse Practitioner | 1001 Westford St Apt 14, Lowell, MA 01851-2741 | 2019-05-15 |
| 1760956536 | Melanie Burgess Dumont | Nurse Practitioner | 71 Jackson St Unit 313, Lowell, MA 01852-2178 | 2019-01-15 |
| 1992277214 | Jody Huck | Nurse Practitioner | 4010 Rainbow Rd, Lowell, OH 45744-7176 | 2018-12-27 |
| 1477077295 | Melissa Rose Stewart | Nurse Practitioner | 15896 Cow Face Rd, Lowell, AR 72745-9158 | 2017-08-02 |
| 1174071286 | Ruth Walsworth | Nurse Practitioner | 595 Pawtucket Blvd Ste 2, Lowell, MA 01854-2042 | 2016-09-18 |
| 1750634531 | Jill Irene Maddack | Nurse Practitioner | 4500 W 181st Ave, Lowell, IN 46356-0017 | 2012-10-18 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| Find all providers in LOWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.