Active NPI
Clare Marguerite Kearney, RN
- Family Nurse Practitioner
- Boston, MA
National Provider Identifier
1114457447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2353002
- Practice address
- 450 Brookline Ave
Boston, MA 02215-5418 - Phone
- (617) 632-5138
- Fax
- (617) 632-4410
- NPI assigned
- Jun 19, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 717285-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | F342679 | NY | |
| Family Nurse Practitioner | 363LF0000X | RN2353002 | MA | Primary |
Addresses
Primary practice location
450 Brookline Ave
Boston, MA 02215-5418
Mailing address
450 Brookline Ave
Boston, MA 02215-5418
Phone (617) 632-5138
Other practice location 1
49 Murray St
New York, NY 10007-2250
Phone (212) 729-1283
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 717285-1 | NY | MD | Registered Nurse |
| F342679 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| KMP Medical PLLC | Past | Accepting new patients |
Locations
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
Interoperability endpoints
- kearney.clare.dfci@direct.partners.masshiway.net
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- Special Hospital
- Boston, MA
- NPI 1346433257
-
- Allergy Physician
- New York, NY
- NPI 1417218991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1114457447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155418",
"telephone_number": "617-632-5138",
"fax_number": "617-632-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155418",
"telephone_number": "617-632-5138",
"fax_number": "617-632-4410"
}
],
"practiceLocations": [
{
"address_1": "49 Murray St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100072250",
"country_code": "US",
"telephone_number": "212-729-1283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEARNEY",
"first_name": "CLARE",
"middle_name": "MARGUERITE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "717285-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F342679",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2353002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.