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KETMA PERICLES
NPI 1760119648
Licensed Practical Nurse in Cambridge, MA

Active since August 02, 2022
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139(781) 397-6546 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ketma Pericles NPPES

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

KETMA PERICLES (NPI 1760119648) is an individual licensed practical nurse in Cambridge, Massachusetts, licensed in Massachusetts (LN69424) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1760119648
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKETMA PERICLES
Location Address1493 CAMBRIDGE STCambridge, MA 02139-1047
Mailing Address36 Tea Party WayMalden, MA 02148-1980 · (781) 922-1097
Phone(781) 397-6546
Sole ProprietorYes
Enumeration DateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1760119648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MA · LN69424
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1493 CAMBRIDGE ST, Cambridge, MA 02139
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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.

ZACHARY OLIFF DO
Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
JACOB DYLAN WOLFE LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1646
SARAH-JO SANTILLI RN
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 272-6455
JULIE LYNNE MERCER
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 591-4212
TAIANA KATSARAS LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1185
ANGELA DE SILVA
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
RORY HAUSER
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (802) 595-9868
CASEY TRAN
Occupational Therapist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000

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 Ketma Pericles's NPI number?

The NPI number for Ketma Pericles is 1760119648. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Ketma Pericles located?

Ketma Pericles practices at 1493 Cambridge St, Cambridge, MA 02139. The listed phone number is (781) 397-6546.

What is Ketma Pericles's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ketma Pericles was last updated on August 2, 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.