KATHLEEN CONNOLLY NP
NPI 1043284417
Nurse Practitioner - Pediatrics in Boston, MA

Active since February 14, 2006
133 BROOKLINE AVE, BOSTON, MA 02215(617) 421-1000(617) 421-6084 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Connolly Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN CONNOLLY NP (NPI 1043284417) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (152188) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1043284417
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHLEEN CONNOLLYCredential: NP
Location Address133 BROOKLINE AVEBoston, MA 02215-3904
Mailing Address147 Milk St, Provider Enrolllment - 9th FloorBoston, MA 02109-4806 · (617) 559-8053 · Fax (617) 421-3487
Fax(617) 421-6084
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMay 2, 2014
NPI 1043284417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MA · 152188
Also ListedNurse PractitionerTaxonomy 363L00000X · License 152188 (MA)
133 BROOKLINE AVE, Boston, MA 02215

Other Identifiers 5

OtherAA34079MA · Harvard Pilgrim
OtherNP9605MA · Blue Cross
Medicare ID-Type UnspecifiedNP5050MA
Medicare UPINQ45608MA
Medicaid0704369MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
133 BROOKLINE AVE
BOSTON, MA 02215
Nurse Practitioner (Adult Health)
133 BROOKLINE AVE
BOSTON, MA 02215
Psychiatry & Neurology (Psychiatry)
133 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
133 BROOKLINE AVE, INTERNAL MEDICINE
BOSTON, MA 02215
Social Worker
133 BROOKLINE AVE
BOSTON, MA 02215
Registered Nurse
133 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
133 BROOKLINE AVE
BOSTON, MA 02215
Technician/Technologist (Optician)
133 BROOKLINE AVE
BOSTON, MA 02215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Connolly's NPI number?

The NPI number for Kathleen Connolly is 1043284417. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Kathleen Connolly located?

Kathleen Connolly practices at 133 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 421-1000.

What is Kathleen Connolly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kathleen Connolly was last updated on May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.