Kathryn Burke Kelly, APRN-BC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

85454 PC Issued in MA

Practice address

324 Purchase St
Suite 12B
South Easton, MA 02375-1641

Phone

(508) 297-2316

Fax

(508) 297-1712

NPI assigned

Sep 20, 2006

Last updated

Oct 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1083711972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 PURCHASE ST",
            "address_2": "SUITE 12B",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751641",
            "telephone_number": "508-297-2316",
            "fax_number": "508-297-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 PURCHASE ST",
            "address_2": "SUITE 12B",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751641",
            "telephone_number": "508-297-2316",
            "fax_number": "508-297-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATHRYN",
        "middle_name": "BURKE",
        "name_prefix": "Ms.",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "85454  PC",
            "primary": true
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "MA",
            "license": "85454  PC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PN0357",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John T Veale DMD and Peter G Veale DMD Inc.
• Joseph a. Nash, D.M.D., P.C.
• Claudive A Joseph, PHARMD
• Brianne Michelle Jurs
• Martha Burke Kaufman, L.I.C.S.W.
• Sean Kelly, OTR
• Sonali Arun Khond, M.D.
• Yoon Jae Kim, D.M.D
• Robert Owen Kirk, D.D.S.
• Allison A Kitson, LICSW

• Psychiatric/Mental Health Clinical Nurse Specialist in South Easton, MA
• Providers in South Easton, MA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.