Active NPI
Kristine Marie Tingley, CNP, NNP-BC
- Neonatal Nurse Practitioner
- Dover, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 048573-23
- Practice address
- 789 Central Ave
Dover, NH 03820-2526 - Phone
- (603) 740-2263
- Fax
- (603) 740-2402
- NPI assigned
- Jul 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN216454 | MA | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 5671 | CT | |
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | RN216454 | MA | |
| Neonatal Nurse Practitioner | 363LN0000X | 048573-23 | NH | Primary |
Addresses
Primary practice location
789 Central Ave
Dover, NH 03820-2526
Mailing address
PO Box 412503
Boston, MA 02241-2503
Phone (603) 740-2413
Other practice location 1
55 Fruit St
Boston, MA 02114-2621
Phone (617) 724-4310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3100542 | Medicaid | NH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ktingley24403@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5671 | CT | MD | Speech-Language Pathologist |
| 048573-23 | NH | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Martha'S Vineyard Hospital, Inc. | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Martha'S Vineyard Hospital, Inc. | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Martha'S Vineyard Hospital, Inc. | Past | Accepting new patients | |
| Wentworth Douglass Hospital | Past | Accepting new patients | |
| Martha'S Vineyard Hospital | Nurse Practitioner | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500
789 Central Ave
#2
Dover, NH 03820
Phone (603) 740-2503
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275
Interoperability endpoints
- ktingley24403@umassmemorial.direct-ci.com
- tingley.kristine.mgh@direct.partners.masshiway.net
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- Critical Access Hospital
- Oak Bluffs, MA
- NPI 1134206386
-
- Internal Medicine Physician
- Oak Bluffs, MA
- NPI 1194866210
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Family Medicine Physician
- Putnam, CT
- NPI 1376813972
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
-
- Diabetes Educator Registered Nurse
- Dover, NH
- NPI 1336751825
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
-
- Obstetrics & Gynecology Physician
- Oak Bluffs, MA
- NPI 1962465500
Nurse Practitioner
-
- Rural Health Clinic/Center
- Oak Bluffs, MA
- NPI 1508413725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1023273265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412503",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412503",
"telephone_number": "603-740-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-740-2263",
"fax_number": "603-740-2402"
}
],
"practiceLocations": [
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142621",
"country_code": "US",
"telephone_number": "617-724-4310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TINGLEY",
"first_name": "KRISTINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CNP, NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN216454",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "CT",
"license": "5671",
"primary": false
},
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "MA",
"license": "RN216454",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NH",
"license": "048573-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3100542",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ktingley24403@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "119 Belmont St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016052903",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "119 Belmont St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016052903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.