Individual provider Active NPI

Kathleen Ammon, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Melrose, MA
National Provider Identifier
1104282136
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN2278892 Issued in MA
Practice address
50 Rowe St Ste 400
Melrose, MA 02176-3201
Phone
(781) 665-6606
Fax
(781) 665-1277
NPI assigned
Jan 6, 2016
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN2278892 MA Primary

Addresses

Primary practice location

50 Rowe St Ste 400
Melrose, MA 02176-3201

Mailing address

50 Rowe St Ste 400
Melrose, MA 02176-3201
Phone (781) 665-6606

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
I20160408001431 MA Practitioner - Nurse Practitioner 1456659358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

109 Commercial St
Malden, MA 02148-5509
Phone (781) 388-4160

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Healthcare Associates, P.C. CurrentSince Feb 21, 2021 Accepting new patients
Hallmark Health Medical Associates Inc Obstetrics & Gynecology CurrentSince Feb 22, 2016 Accepting new patients

Locations

109 Commercial St
Malden, MA 02148
Phone (781) 338-4160

50 Rowe St
Melrose, MA 02176
Phone (781) 620-4944

50 Rowe St
Ste 400
Melrose, MA 02176
Phone (781) 665-6605

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

Interoperability endpoints

  • Direct secure messaging: kammon28496@tuftsmedicine.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1104282136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROWE ST STE 400",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763201",
            "telephone_number": "781-665-6606",
            "fax_number": "781-665-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROWE ST STE 400",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763201",
            "telephone_number": "781-665-6606",
            "fax_number": "781-665-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMON",
        "first_name": "KATHLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "RN2278892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

Verify at the official NPI Registry.