Active NPI
Catherine A Kennedy, OD
- Vision Therapy Optometrist
- Burlington, MA
National Provider Identifier
1154892263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 2694
- Practice address
- 83 Cambridge St Ste 1D
Burlington, MA 01803-4181 - Phone
- (781) 272-2187
- Fax
- (781) 229-0869
- NPI assigned
- Dec 16, 2018
- 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 |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 2694 | MA | Primary |
Addresses
Primary practice location
83 Cambridge St Ste 1D
Burlington, MA 01803-4181
Mailing address
83 Cambridge St Ste 1D
Burlington, MA 01803-4181
Phone (781) 272-2187
Other names 1
- Catherine Ann Kennedy Riggs
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 |
|---|---|---|---|
| 2694 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1154892263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 CAMBRIDGE ST STE 1D",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034181",
"telephone_number": "781-272-2187",
"fax_number": "781-229-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 CAMBRIDGE ST STE 1D",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034181",
"telephone_number": "781-272-2187",
"fax_number": "781-229-0869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "CATHERINE",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "MA",
"license": "2694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "KENNEDY RIGGS",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.