Kimberly S Moretti, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2290052 Issued in MA

Practice address

107 Sheraton Ave
Somerset, MA 02725-1150

Phone

(774) 644-5971

NPI assigned

Oct 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly S Christie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1043819196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ROLLINGWOOD DR",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029191641",
            "telephone_number": "774-644-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SHERATON AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027251150",
            "telephone_number": "774-644-5971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Pine St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032846",
            "country_code": "US",
            "telephone_number": "401-454-6625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORETTI",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2290052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CHRISTIE",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Simon Melnick, DO
• Anne M Mercer, LMHC
• Maria Mitchell
• Jennifer Michelle Moniz, OTR
• Sara Moore
• Richard M Moroff, OD
• Mspcc
• Catherine Mukasa
• Casey Allyn Mulligan, MPH, LICSW, BCBA
• Susan Mullin

• Family Nurse Practitioner in Somerset, MA
• Providers in Somerset, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.

Verify at the official NPI Registry.