Kim Byda, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN259657 Issued in MA

Practice address

19 Old Mill Rd
Norfolk, MA 02056

Phone

(617) 875-8899

NPI assigned

Aug 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Northeast Moms and Babies, PLLC

  • Pediatric Nurse Practitioner
  • Norfolk, MA
  • NPI 1235784653

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174040554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OLD MILL RD",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561435",
            "telephone_number": "617-875-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLD MILL RD",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "02056",
            "telephone_number": "617-875-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYDA",
        "first_name": "KIM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MA",
            "license": "ALPP-257870",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN259657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Bloom, PT, DPT
• Gisele B Bousquet, R.N.,MS
• Emily Deans Brideau, MD
• Jason Brill
• Monica K. Briselli, RPH, CDM
• Kinga J Cetera, M.D.
• Linda Chichester, LICSW
• Cynthia Coates Chipman, RN
• Karen Clark, R.N.
• CNV Bidco LLC

• Pediatric Nurse Practitioner in Norfolk, MA
• Providers in Norfolk, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.