Elana Breanna Kalus, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2328516 Issued in MA

Practice address

1225 Dorchester Ave
Dorchester, MA 02125-1501

Phone

(617) 265-0200

NPI assigned

Sep 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• E & E Care LLC

  • Foster Care Agency
  • Stoughton, MA
  • NPI 1013635713
  NPD Authorized official
• Boston Adult Day Care

  • Adult Day Care Clinic/Center
  • Dorchester, MA
  • NPI 1366610347
  NPD (past)

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1124855739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 CAPTAIN EAMES CIR",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211983",
            "telephone_number": "781-888-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021251501",
            "telephone_number": "617-265-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUS",
        "first_name": "ELANA",
        "middle_name": "BREANNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2328516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucine Jules, RN
• Jus'Therapy
• Marie Michelle Juste
• Nyindu Kabangu, LPN
• Aram V Kaligian, M.D.
• Lily A Kam, MD
• Emmanuel Kamonou
• Kane Square Physical Therapy
• Kane Square Physical Therapy, LLC
• Nicole Leeann Kanelos

• Nurse Practitioner in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.

Verify at the official NPI Registry.