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KELLEY ELIZABETH VISWANATH ARNP
NPI 1760855936
Nurse Practitioner - Family in Medford, MA

Active since November 09, 2015

NPPES record last updated: November 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2017, Nov 9, 2015 (2 updates tracked since 2015).

About Kelley Elizabeth Viswanath Arnp NPPES

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

KELLEY ELIZABETH VISWANATH ARNP (NPI 1760855936) is an individual family provider in Medford, Massachusetts, licensed in Florida (ARNP9389209) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1760855936
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY ELIZABETH VISWANATHCredential: ARNP
Location Address85 HIGH STMedford, MA 02155
Mailing Address77 Pond Ave Apartment 1109Brookline, MA 02445 · (651) 278-2390
Phone(781) 396-4770
Sole ProprietorNo
Enumeration DateNovember 9, 2015
Last NPPES UpdateNovember 17, 20172 updates tracked since enumeration
✔ NPI 1760855936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9389209
85 HIGH ST, Medford, MA 02155
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelley Elizabeth Starks

Other Providers at the Same Location NPPES 19

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

NATALIE DIESZ
Pharmacist
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
SANDY MAC
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
OLIVIA ETONDI PHARM D
Pharmacist
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
NICOLE LYN SCOURAS FNP
Nurse Practitioner (Family)
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
JENNIFER AHONEN CRANE CNP, RN
Nurse Practitioner
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
MR. EMMANUEL TETTEH AGBOTTAH FNP
Nurse Practitioner (Family)
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
MEHRI POURSHADI
Pharmacist
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
DR. ANNA WU RPH
Pharmacist
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770

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 Kelley Viswanath's NPI number?

The NPI number for Kelley Viswanath is 1760855936. It was assigned to this individual provider in the NPPES registry on November 9, 2015. The provider is also known as Kelley Elizabeth Starks.

Where is Kelley Viswanath located?

Kelley Viswanath practices at 85 High St, Medford, MA 02155. The listed phone number is (781) 396-4770.

What is Kelley Viswanath's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelley Viswanath was last updated on November 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.