Individual provider Active NPI

Kathryn Elizabeth Ventola, CNP

  • Family Nurse Practitioner
  • Walpole, MA
National Provider Identifier
1073161998
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2320238 Issued in MA
Practice address
111 Norfolk St
Walpole, MA 02081-1703
Phone
(508) 660-1200
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2320238 MA Primary

Addresses

Primary practice location

111 Norfolk St
Walpole, MA 02081-1703

Mailing address

16 Skyline Dr
Medway, MA 02053-2428

Other practice location 1

969 Main St
Millis, MA 02054-1555
Phone (508) 376-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230131000750 MA Practitioner - Nurse Practitioner 6507237591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

111 Norfolk St
Walpole, MA 02081-1703
Phone (508) 660-1200

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

969 Main St
Millis, MA 02054-1555
Phone (508) 376-3000

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Urgent Care LLC Current Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jun 3, 2024 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Oct 8, 2022 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Oct 8, 2022 Accepting new patients

Locations

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

111 Norfolk St
Walpole, MA 02081
Phone (508) 660-1200

90 Brigham Way
Westwood, MA 02090
Phone (617) 724-9245

Interoperability endpoints

  • Direct secure messaging: ventola.kathryn.puc@direct.partners.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1073161998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SKYLINE DR",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020532428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORFOLK ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811703",
            "telephone_number": "508-660-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Main St",
            "address_purpose": "LOCATION",
            "city": "Millis",
            "state": "MA",
            "postal_code": "020541555",
            "country_code": "US",
            "telephone_number": "508-376-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTOLA",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2320238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

Verify at the official NPI Registry.