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KATHLYN BEAUDRY-NOWAK NP
NPI 1558319632
Nurse Practitioner - Gerontology in Belmont, MA

Active since May 04, 2006
268 TRAPELO RD, STE 2, BELMONT, MA 02478(781) 647-3040(781) 647-3044 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2016, Mar 14, 2016 (2 updates tracked since 2016).

About Kathlyn Beaudry-nowak Np NPPES

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

KATHLYN BEAUDRY-NOWAK NP (NPI 1558319632) is an individual gerontology provider in Belmont, Massachusetts, licensed in Massachusetts (152072) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1558319632
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKATHLYN BEAUDRY-NOWAKCredential: NP
Location Address268 TRAPELO RD, STE 2Belmont, MA 02478-1849
Mailing Address268 Trapelo Rd, Ste 2Belmont, MA 02478-1849 · (781) 647-3040 · Fax (781) 647-3044
Phone(781) 647-3040
Fax(781) 647-3044
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateMarch 21, 20162 updates tracked since enumeration
✔ NPI 1558319632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MA · 152072
268 TRAPELO RD, Belmont, MA 02478
Open in Google Maps ↗

Other Identifiers 3

Medicaid0705632MA
Medicare UPINQ02800MA
Medicare PINUX8853MA

Other Providers at the Same Location NPPES 5

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

TAMAR BABAYAN AGNP-C
Nurse Practitioner
268 TRAPELO RD
BELMONT, MA 02478
Middlesex County (617) 489-4007
BRADLEY WALKER MD
Internal Medicine
268 TRAPELO RD
BELMONT, MA 02478
Middlesex County (617) 489-4007
DR. PATRICIA MOYER MD
Internal Medicine
268 TRAPELO RD
BELMONT, MA 02478
Middlesex County (617) 489-4007
AZADEH ASSARPOUR M.D.
Internal Medicine
268 TRAPELO RD
BELMONT, MA 02478
Middlesex County (617) 484-0235
JILL BABCOCK NP
Nurse Practitioner (Adult Health)
268 TRAPELO RD
BELMONT, MA 02478
Middlesex County (617) 484-0235

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 Kathlyn Beaudry-nowak's NPI number?

The NPI number for Kathlyn Beaudry-nowak is 1558319632. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Kathlyn Beaudry-nowak located?

Kathlyn Beaudry-nowak practices at 268 Trapelo Rd Ste 2, Belmont, MA 02478. The listed phone number is (781) 647-3040.

What is Kathlyn Beaudry-nowak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Kathlyn Beaudry-nowak was last updated on March 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.