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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NINA KISCHKUM
NPI 1417862749
Student in an Organized Health Care Education/Training Program in Waltham, MA

Active since August 19, 2026
220 BEAR HILL RD STE 101, WALTHAM, MA 02451(781) 790-8479 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nina Kischkum NPPES

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

NINA KISCHKUM (NPI 1417862749) is an individual student in an organized health care education/training program in Waltham, Massachusetts and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1417862749
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNINA KISCHKUM
Location Address220 BEAR HILL RD STE 101Waltham, MA 02451-1004
Mailing Address220 Bear Hill Rd Ste 101Waltham, MA 02451-1004 · (781) 790-8479
Phone(781) 790-8479
Sole ProprietorNo
Enumeration DateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
✔ NPI 1417862749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
220 BEAR HILL RD STE 101, Waltham, MA 02451
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Other Providers at the Same Location NPPES 14

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

BRITTANY ROSE GOTTS PT, DPT
Physical Therapist
220 BEAR HILL RD STE 101
WALTHAM, MA 02451
Middlesex County (781) 790-8479
ASHLEY BEDARD
Occupational Therapist
220 BEAR HILL RD STE 101
WALTHAM, MA 02451
Middlesex County (781) 790-8479
SIDNEY MICHAUX DPT
Physical Therapist
220 BEAR HILL RD STE 101
WALTHAM, MA 02451
Middlesex County (804) 402-9943
BROOKLYNN GUMBY
Physical Therapist
220 BEAR HILL RD STE 101
WALTHAM, MA 02451
Middlesex County (781) 790-8479
ALISON WHITMAN
Occupational Therapist (Pediatrics)
220 BEAR HILL RD STE 101
WALTHAM, MA 02451
Middlesex County (781) 790-8479
KRISTEN DONLEVIE OTD, OTR/L
Occupational Therapist
220 BEAR HILL RD STE 101
WALTHAM, MA 02451
Middlesex County (781) 790-8479
DR. ASHLEY MARYANN BEATO PT, DPT
Physical Therapist
220 BEAR HILL RD STE 101
WALTHAM, MA 02451
Middlesex County (781) 790-8479
KAITLIN DIERKSHEIDE OTR/L
Occupational Therapist (Pediatrics)
220 BEAR HILL RD STE 101
WALTHAM, MA 02451
Middlesex County (781) 790-8479

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 Nina Kischkum's NPI number?

The NPI number for Nina Kischkum is 1417862749. It was assigned to this individual provider in the NPPES registry on August 19, 2026.

Where is Nina Kischkum located?

Nina Kischkum practices at 220 Bear Hill Rd Ste 101, Waltham, MA 02451. The listed phone number is (781) 790-8479.

What is Nina Kischkum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nina Kischkum was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.