KATHLEEN KELLY NP
NPI 1811062839
Nurse Practitioner in Boston, MA

Q: What is Kathleen Kelly's NPI number?

The NPI number for Kathleen Kelly is 1811062839. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Q: What is Kathleen Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 22, 2006

55 FRUIT STREET YAW 4B, BOSTON, MA 02114(617) 724-6715 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathleen Kelly Np NPPES

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

KATHLEEN KELLY NP (NPI 1811062839) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (186466) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1811062839

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATHLEEN KELLYCredential: NP

Location Address55 FRUIT STREET YAW 4BBoston, MA 02114-2696

Mailing AddressPo Box 9142, Mass General Physicians Organization IncCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894

Phone(617) 724-6715

Sole ProprietorNo

Enumeration DateNovember 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811062839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · 186466

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

55 FRUIT STREET YAW 4B, Boston, MA 02114

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Other Identifiers 2

Medicare ID-Type UnspecifiedNP3902MA

Medicare UPINP67092

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 Kathleen Kelly's NPI number?

The NPI number for Kathleen Kelly is 1811062839. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Kathleen Kelly located?

Kathleen Kelly practices at 55 Fruit Street Yaw 4B, Boston, MA 02114. The listed phone number is (617) 724-6715.

What is Kathleen Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.