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

NPI Status: Active since February 14, 2006

Contact Information

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 421-1000
Fax: (617) 421-6084

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  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics

About KATHLEEN CONNOLLY

This page provides the complete NPI Profile along with additional information for Kathleen Connolly, a provider established in Boston, Massachusetts with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1043284417 assigned on February 2006. The practitioner's primary taxonomy code is 363LP0200X with license number 152188 (MA). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1043284417
Provider Name
KATHLEEN CONNOLLY NP
Gender
Female
Entity Type
Individual
Location Address
133 BROOKLINE AVE BOSTON, MA 02215
Location Phone
(617) 421-1000
Location Fax
(617) 421-6084
Mailing Address
147 MILK ST PROVIDER ENROLLLMENT - 9TH FLOOR BOSTON, MA 02109
Mailing Phone
(617) 559-8053
Mailing Fax
(617) 421-6084
Is Sole Proprietor?
No
Enumeration Date
02-14-2006
Last Update Date
05-02-2014
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A nurse practitioner (NP) like Kathleen Connolly is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
152188
License State
MA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

152188 (MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AA34079OTHER (01)MAHARVARD PILGRIM
NP9605OTHER (01)MABLUE CROSS
NP5050MEDICARE ID-TYPE UNSPECIFIED (04)MA 
Q45608MEDICARE UPIN (02)MA 
0704369MEDICAID (05)MA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043284417
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
208348842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 8 + 8 + 4 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1043284417 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MARSHALL S KATZ M.D.

Internal Medicine

(Cardiovascular Disease)

133 BROOKLINE AVE
HARVARD VANGUARD MEDICAL ASSOCIATES
BOSTON, MA
ZIP 02215

(617) 421-6050

JENNIFER FOURNIER N.P.

Nurse Practitioner

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 421-1126

DR. CHRISTOPHER MICHAEL ANDREOLI M.D.

Ophthalmology

133 BROOKLINE AVE
OPHTHALMOLOGY DEPT
BOSTON, MA
ZIP 02215

(617) 421-1151

DIXIE MILLS MD

Surgery

133 BROOKLINE AVE
SURGERY DEPT
BOSTON, MA
ZIP 02215

(617) 421-8749

NATALIA KANDROR M.D.

Pediatrics

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 421-8888

ROBB SCOTT FRIEDMAN M.D.

Internal Medicine

(Hematology & Oncology)

133 BROOKLINE AVE
HEMATOLOGY - ONCOLOGY DEPT
BOSTON, MA
ZIP 02215

(617) 421-5950

DR. MICHAEL ADRIAN WILLIAMS M.D.

Otolaryngology

(Pediatric Otolaryngology)

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 421-5984

SUSAN G. BOLTON CCC-A

Audiologist

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 421-5984

MELISSA L. MORGAN CCC

Audiologist

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 421-5984

DR. KELLY MARIE MACAULAY MD

Pediatrics

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 421-8888

FRANCIS X CAMPION M.D.

Internal Medicine

133 BROOKLINE AVE
INTERNAL MEDICINE
BOSTON, MA
ZIP 02215

(617) 421-5804

CALVIN J COHEN M.D.

Internal Medicine

133 BROOKLINE AVE
INTERNAL MEDICINE
BOSTON, MA
ZIP 02215

(617) 421-5804

JERRY S DUBNOFF M.D.

Internal Medicine

133 BROOKLINE AVE
INTERNAL MEDICINE
BOSTON, MA
ZIP 02215

(617) 421-8843

MELISSA S. GILMAN RD

Dietitian, Registered

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 629-6444

JULIENNE M. SEED RD

Dietitian, Registered

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 629-6444

CYNTHIA J CUNNINGHAM NP

Nurse Practitioner

(Pediatrics)

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 421-1000

ANN M BRAGAN NP

Nurse Practitioner

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 421-1000

MINDY GOLD NP

Nurse Practitioner

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 421-1000

GREGORY A GORDON M.D.

Internal Medicine

133 BROOKLINE AVE
INTERNAL MEDICINE
BOSTON, MA
ZIP 02215

(617) 421-8843

LINDA L OLIVER PA

Physician Assistant

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 421-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043284417, enumerated as an "individual" on February 14, 2006.

The provider is located at 133 BROOKLINE AVE BOSTON, MA 02215 and the phone number is (617) 421-1000.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.