Kevin M Fairley, APN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

254740 Issued in MA

Practice address

45 Georgian Rd
Weston, MA 02493-2110

Phone

(781) 642-8618

Fax

(781) 398-8341

NPI assigned

Jan 25, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Cambridge School of Weston

  • Student Health Clinic/Center
  • Weston, MA
  • NPI 1912184540
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1043497670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 GEORGIAN RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024932110",
            "telephone_number": "781-642-8618",
            "fax_number": "781-398-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 GEORGIAN RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024932110",
            "telephone_number": "781-642-8618",
            "fax_number": "781-398-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRLEY",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "254740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary R England, M.D.
• Epoch Senior Health Care of Weston
• Epoch Senior Healthcare of Weston, LLC
• Anne F Fabre
• Kathryn Helen Fairbend, MS
• Marguerite Mary Fallon, D.M.D.
• Maryam Fattahy, OD
• Dahlia Phyllis Filban
• Maureen Filippine, MD
• Conor Finnegan

• Adult Health Nurse Practitioner in Weston, MA
• Providers in Weston, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.