Individual provider Active NPI

Cathleen Mary Kilmartin, ARNP

  • Gerontology Nurse Practitioner
  • Marstons Mills, MA
National Provider Identifier
1104946649
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
152366 Issued in MA
Practice address
160 Cedar Tree Neck Rd
Marstons Mills, MA 02648-1817
Phone
(502) 802-7005
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 152366 MA Primary

Addresses

Primary practice location

160 Cedar Tree Neck Rd
Marstons Mills, MA 02648-1817

Mailing address

160 Cedar Tree Neck Rd
Marstons Mills, MA 02648-1817
Phone (502) 802-7005

Other practice location 1

2900 Telestar Ct
Falls Church, VA 22042-1206
Phone (703) 396-3311

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hosparus Palliative Care Inc. Past Accepting new patients
Elderserve, Inc. Past Accepting new patients
Capital Palliative Care Consultants, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1104946649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CEDAR TREE NECK RD",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026481817",
            "telephone_number": "502-802-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CEDAR TREE NECK RD",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026481817",
            "telephone_number": "502-802-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Telestar Ct",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421206",
            "country_code": "US",
            "telephone_number": "703-396-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILMARTIN",
        "first_name": "CATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "152366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marstons Mills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.