Individual provider Active NPI

Katelyn Ruth Keefe

  • School Registered Nurse
  • Tyngsboro, MA
National Provider Identifier
1073247045
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN2325921 Issued in MA
Practice address
15 Cannongate Rd Apt 45
Tyngsboro, MA 01879-1425
Phone
(978) 888-3753
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN2325921 MA Primary

Addresses

Primary practice location

15 Cannongate Rd Apt 45
Tyngsboro, MA 01879-1425

Mailing address

15 Cannongate Rd Apt 45
Tyngsboro, MA 01879-1425
Phone (978) 888-3753

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
I20240813004021 MA Practitioner - Nurse Practitioner 3072051739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Care Medical Group PCGroup PAC ID 7416904313, 8 clinicians

Practice addresses (Care Compare)

595 Pawtucket Blvd
Suite 3
Lowell, MA 01854-2042
Phone (978) 453-8261

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Atrius Health, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Global Care Medical Group, P.C. CurrentSince Mar 20, 2025 Accepting new patients
Pratt Medical Group, Inc PastSince Mar 20, 2025 Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

595 Pawtucket Blvd
Lowell, MA 01854
Phone (978) 453-8261

595 Pawtucket Blvd
Ste 3
Lowell, MA 01854
Phone (918) 453-8261

600 Clark Rd
Fl 2
Tewksbury, MA 01876
Phone (978) 453-1811

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDDGAA/Endpoint/CDDGAA

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 1

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1073247045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CANNONGATE RD APT 45",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791425",
            "telephone_number": "978-888-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CANNONGATE RD APT 45",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791425",
            "telephone_number": "978-888-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "KATELYN",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MA",
            "license": "RN2325921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyngsboro, MA

Sources for this page

Verify at the official NPI Registry.