Individual provider Active NPI

Katherine Strand Teixeira-Dasilva, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Wellesley, MA
National Provider Identifier
1063633006
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
206713 Issued in MA
Practice address
231 Forest St
Wellesley, MA 02481-6839
Phone
(781) 239-6363
Fax
(812) 395-0697
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 206713 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 206713 MA Primary

Addresses

Primary practice location

231 Forest St
Wellesley, MA 02481-6839

Mailing address

106 Auburn St
Auburndale, MA 02466-2502
Phone (617) 763-5541

Other identifiers 1

IdentifierTypeStateIssuer
206713OtherMALICENSE

Other names 1

  • Katherine T Dasilva Other name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
206713MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colony Care Inc Past Accepting new patients
Medical Care of Boston Management Corporation Past Accepting new patients
Arlington Family Practice P.C PastSince Sep 4, 2002 Accepting new patients
Atreva Health Care, Inc. Past Accepting new patients
Mount Auburn Professional Services Inc Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1063633006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 AUBURN ST",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024662502",
            "telephone_number": "617-763-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 FOREST ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816839",
            "telephone_number": "781-239-6363",
            "fax_number": "812-395-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIXEIRA-DASILVA",
        "first_name": "KATHERINE",
        "middle_name": "STRAND",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "206713",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "206713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "206713",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DASILVA",
            "middle_name": "T",
            "credential": "N.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.