Active NPI
Kellie Cann
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Needham, MA
National Provider Identifier
1154130177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- RN2345044
- Practice address
- 59 Norfolk St
Needham, MA 02492-3227 - Phone
- (617) 835-0144
- NPI assigned
- Jan 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN2345044 | MA | Primary |
Addresses
Primary practice location
59 Norfolk St
Needham, MA 02492-3227
Mailing address
59 Norfolk St
Needham, MA 02492-3227
Phone (617) 835-0144
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2345044 | MA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1154130177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 NORFOLK ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024923227",
"telephone_number": "617-835-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 NORFOLK ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024923227",
"telephone_number": "617-835-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANN",
"first_name": "KELLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-03",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "MA",
"license": "RN2345044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.