KATHLEEN KELLY


Address: 55 Fruit Street Yaw 4b, Boston, MA 02114-2696
Phone: 6177246715

KATHLEEN KELLY (NPI# 1811062839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811062839
Entity Type Individual
Full Name KATHLEEN KELLY
Credential NP
Practice Address 55 Fruit Street Yaw 4b
Boston
MA 02114-2696
Mailing Address Po Box 9142
Mass General Physicians Organization Inc
Charlestown
MA 02129-9142
Practice Telephone 6177246715
Mailing Telephone 6177240287
Mailing Fax Number 6177262894
Enumeration Date 2006-11-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 186466 MA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHLEEN KELLY

NPI Name Taxonomy Address Enumeration
1295335511 Kathleen Kelly Social Worker 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341 2020-10-27
1699226415 Kathleen Ann Kelly Clinical Medical Laboratory David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 2016-10-17
1033510359 Kathleen P Kelly Licensed Practical Nurse 25 Rogers Pl, Hyde Park, NY 12538-1112 2014-09-05
1730522418 Kathleen Kelly Registered Nurse 319 Middlesex Rd, Buffalo, NY 14216-3140 2013-04-11
1528328432 Kathleen Marie Kelly Behavioral Analyst 1031 S Crescent Heights Blvd, Los Angeles, CA 90035-2632 2012-05-24
1013241512 Kathleen Marie Kelly Psychologist #1670 Calle Georgina Volga, Urb. Reparto De Diego, San Juan, PR 00926-9998 2009-09-30
1174739882 Kathleen Petrie Kelly Physical Therapist 4 Kildare Walk, Rockaway Point, NY 11697-1708 2007-05-16
1073664710 Kathleen Lorraine Kelly Counselor 1070 W. Horizon Ridge Pkwy., Suite 200, Henderson, NV 89012-6019 2007-01-16
1467455147 Kathleen A Kelly Dentist 44 E Mifflin St, Ste 204, Madison, WI 53703-2895 2005-05-24
1295208999 Kathleen Kelly Registered Nurse 41521 W 11 Mile Rd, Novi, MI 48375-1803 2019-01-04

Office Location

Street Address 55 FRUIT STREET YAW 4B
City BOSTON
State MA
Zip Code 02114-2696

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
1881223741 Alexander Wesley Zirulnik Student in an Organized Health Care Education/Training Program 55 Fruit St. Boston, Boston, MA 02114 2020-04-03
1376170548 Mia Yu Bothwell Student in an Organized Health Care Education/Training Program Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 2020-03-26
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1124651658 Madeleine Sertic Student in an Organized Health Care Education/Training Program Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 2020-02-12
1285274498 Jiuk James Jung Student in an Organized Health Care Education/Training Program 15 Parkman Ave, Wang 4-460, Boston, MA 02114 2020-01-15
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1558827220 Aluma Chovel Sella Student in an Organized Health Care Education/Training Program Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 2019-02-18
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1720550031 Nicole M Price Social Worker 29 Staniford St, Boston, MA 02114 2018-12-27
Find all providers in zip 02114

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366058463 Alexandra Paz Nurse Practitioner 55 Dartmouth St, Boston, MA 02116-5906 2020-09-23
1730795238 Eun Chung Hong Nurse Practitioner 2 Sheldon St Apt 1, Boston, MA 02131-2613 2020-09-20
1306450309 Latoya Browne Nurse Practitioner 33 Taunton Ave, Boston, MA 02136-6027 2020-09-07
1649897778 Molly Rose Nurse Practitioner 118 Commonwealth Ave Apt 4, Boston, MA 02116-2901 2020-07-06
1528686680 Stephanie Marie Devito Nurse Practitioner 55 Fruit Street, Ellison 16, Boston, MA 02114-0211 2020-07-06
1558988832 Skyla Barnett Nurse Practitioner 21 Winfield St Apt 1, Boston, MA 02127-3485 2020-07-02
1871130831 Sarah Chu Nurse Practitioner 5 Longfellow Pl Ste 209, Boston, MA 02114-2839 2019-12-09
1851935134 Melissa Anne Coates Nurse Practitioner 330 Brookline Ave # Shapiro7, Boston, MA 02215-5400 2019-10-30
1992348502 Paula Jeanne Mooney Nurse Practitioner 800 Washington St # 70, Boston, MA 02111-1552 2019-10-26
1538712997 Valerie Kiers Nurse Practitioner 55 Fruit St Ste 3e, Boston, MA 02114-2696 2019-07-24
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02114

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Dataset Information

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.

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