Active NPI
Kristina Ann Donovan, RN, FNP
- Registered Nurse
- Quincy, MA
National Provider Identifier
1083682397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 251391
- Practice address
- 7 Elm Ave
Quincy, MA 02170-2923 - Phone
- (617) 770-2211
- NPI assigned
- Mar 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 251391 | MA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN251391 | MA |
Addresses
Primary practice location
7 Elm Ave
Quincy, MA 02170-2923
Mailing address
8 Fossdale Rd
Dorchester Center, MA 02124-5016
Phone (617) 282-3446
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN251391 | MA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1083682397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 FOSSDALE RD",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021245016",
"telephone_number": "617-282-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 ELM AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021702923",
"telephone_number": "617-770-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "KRISTINA",
"middle_name": "ANN",
"credential": "RN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-11",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "251391",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN251391",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.