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KATIE A CREEDON N.P.
NPI 1538350673
Nurse Practitioner - Adult Health in Brockton, MA

Active since August 05, 2007
940 BELMONT ST, BROCKTON, MA 02301(774) 826-1866 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 13, 2023, Feb 4, 2022 (2 updates tracked since 2022).

About Katie A Creedon N.p. NPPES

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

KATIE A CREEDON N.P. (NPI 1538350673) is an individual adult health provider in Brockton, Massachusetts, licensed in Massachusetts (252810) and active in the NPI registry since August 2007. She maintains a secondary practice location in Bridgewater.

NPPES Registry Identity

NPI1538350673
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATIE A CREEDONCredential: N.P.
Location Address940 BELMONT STBrockton, MA 02301-5596
Mailing Address100 Forest DrBridgewater, MA 02324-2330 · (603) 387-7684
Phone(774) 826-1866
Sole ProprietorNo
Enumeration DateAugust 5, 2007
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1538350673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · 252810
940 BELMONT ST, Brockton, MA 02301
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Other Names 1

Former Name (1)Katie Macdonald

Secondary Practice Location 1

Location 1100 Forest DrBridgewater, MA 02324-2330 · Phone (603) 387-7684

Other Identifiers 1

Medicaid110077919AMA

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.

ERIN ELIZABETH SULLIVAN
Social Worker (Clinical)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. JENI ELAINE NORSTROM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2188
JOSEPH KEENE
Licensed Practical Nurse
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2160
MRS. ROBIN PARENTE R.N.
Registered Nurse (Critical Care Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-1194
DANIELLE NIXON LCSW
Case Manager/Care Coordinator
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
ANAIS LUGO-GUERCIO
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
MRS. TRUDY ROSE RADVILLE OTR/L
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. PEGGY MENTOR MD
Family Medicine (Geriatric Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (857) 364-4418

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 Katie Creedon's NPI number?

The NPI number for Katie Creedon is 1538350673. It was assigned to this individual provider in the NPPES registry on August 5, 2007. The provider is also known as Katie Macdonald.

Where is Katie Creedon located?

Katie Creedon practices at 940 Belmont St, Brockton, MA 02301. The listed phone number is (774) 826-1866.

What is Katie Creedon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Katie Creedon was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.