Kayla Fagerberg, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

118198 Issued in MA

Practice address

696 Main St
Weymouth, MA 02190-1842

Phone

(781) 331-3820

Fax

(781) 331-1076

NPI assigned

Feb 27, 2007

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

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Professionals, Inc.

  • Certified Registered Nurse Anesthetist
  • Dartmouth, MA
  • NPI 1659346443

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• New England Eye Surgical Assoc

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1760449979
  Medicare reassignment NPD
• South Shore Anesthesia Associates, Inc

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1215066394
  NPD (past)
• South Shore Anesthesia Associates, Inc.

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1770530388
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1164559332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901842",
            "telephone_number": "781-331-3820",
            "fax_number": "781-331-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901842",
            "telephone_number": "781-331-3820",
            "fax_number": "781-331-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Highland St",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "MA",
            "postal_code": "021863800",
            "country_code": "US",
            "telephone_number": "617-313-1172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGERBERG",
        "first_name": "KAYLA",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "118198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lyn Estey, MSW
• Brenda Etheridge-Johnson
• Melissa Evans, MS OTR/L
• James R Everett, M.D.
• Heather Kathryn Ewell, LCSW
• Jennifer Anne Faig, M.D.
• Family First Counseling Inc
• Vikki Fan, PHARMD
• Michael J Farrell, BS
• Maureen Farrow, RN

• Certified Registered Nurse Anesthetist in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Certified Registered Nurse Anesthetist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.