Active NPI
Colleen Kochman, RN, CPNP
- Pediatric Nurse Practitioner
- Brookline, MA
National Provider Identifier
1063466175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 114509
- Practice address
- 1180 Beacon St
Brookline, MA 02446-3885 - Phone
- (617) 232-2915
- NPI assigned
- May 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 114509 | MA | Primary |
Addresses
Primary practice location
1180 Beacon St
Brookline, MA 02446-3885
Mailing address
20 Greenough Ave
Cambridge, MA 02139-1014
Phone (617) 868-3370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP9892 | Other | MA | BCBS NP ID |
| 0700002 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114509 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063466175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GREENOUGH AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021391014",
"telephone_number": "617-868-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463885",
"telephone_number": "617-232-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHMAN",
"first_name": "COLLEEN",
"name_prefix": "Mrs.",
"credential": "RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "114509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NP ID",
"identifier": "NP9892",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0700002",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.