1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Nurse Practitioner
  6. NPI Profile

KRISTEN KALA DESANDIS AG-ACNP, BC
NPI 1093469793
Nurse Practitioner - Critical Care Medicine in Boston, MA

Active since February 10, 2022
55 FRUIT STREET, ATTN: CENTRAL CREDENTIALING OFFICE, BOSTON, MA 02114(617) 726-2212 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen Kala Desandis Ag-acnp, Bc NPPES

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

KRISTEN KALA DESANDIS AG-ACNP, BC (NPI 1093469793) is an individual critical care medicine provider in Boston, Massachusetts, licensed in Massachusetts (549912241844) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1093469793
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameKRISTEN KALA DESANDISCredential: AG-ACNP, BC
Location Address55 FRUIT STREET, ATTN: CENTRAL CREDENTIALING OFFICEBoston, MA 02114
Mailing Address11 Revere St Apt 3Boston, MA 02114-3812 · (540) 664-4846
Phone(617) 726-2212
Sole ProprietorNo
Enumeration DateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
✔ NPI 1093469793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in MA · 549912241844
55 FRUIT STREET, Boston, MA 02114
Open in Google Maps ↗

Other Names 1

Former Name (1)Kristen Kala Breem

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.

KUI TOH GERARD LEONG M.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-8862
MS. JACQUELINE BANGO LICSW
Social Worker (Clinical)
55 FRUIT STREET, FOUNDERS BUILDING SUITE 880
BOSTON, MA 02114
Suffolk County (617) 643-8281
SARA ELIZABETH GROSSLEIN PA
Physician Assistant
55 FRUIT STREET, WHITE 1
BOSTON, MA 02114
Suffolk County (617) 724-4100
JEFFREY M ELLENBOGEN M.D.
Psychiatry & Neurology (Neurology)
55 FRUIT STREET, WANG 720 (NEUROLOGY)
BOSTON, MA 02114
Suffolk County (617) 724-7419
DR. NANCY LEE HARRIS MD
Pathology (Anatomic Pathology & Clinical Pathology)
55 FRUIT STREET, WRN 2 PATHOLOGY ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-5155
DR. STANLEY YANG SHAW MD PHD
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, YAW 5 CARDIAC UNIT ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 724-6750
LEONARDO V RIELLA M.D., PHD
Internal Medicine
55 FRUIT STREET, WHITE 5
BOSTON, MA 02114
Suffolk County (617) 726-5050
SUSAN MAHER CRNA
Nurse Anesthetist, Certified Registered
55 FRUIT STREET, CLN 309 MGH ANESTHESIA ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-3030

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 Kristen Desandis's NPI number?

The NPI number for Kristen Desandis is 1093469793. It was assigned to this individual provider in the NPPES registry on February 10, 2022. The provider is also known as Kristen Kala Breem.

Where is Kristen Desandis located?

Kristen Desandis practices at 55 Fruit Street Attn: Central Credentialing Office, Boston, MA 02114. The listed phone number is (617) 726-2212.

What is Kristen Desandis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

When was this NPI record last updated?

The NPPES record for Kristen Desandis was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.