Individual provider Active NPI

Kia J. McCarthy, CPNP

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1194770289
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN258399 Issued in MA
Practice address
53 State St Ste 106
Boston, MA 02109-2136
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X RN258399 MA
Nurse Practitioner 363L00000X 722128 TX
Nurse Practitioner 363L00000X RN258399 MA Primary

Addresses

Primary practice location

53 State St Ste 106
Boston, MA 02109-2136

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice location 1

5110 N 10th St
McAllen, TX 78504-2834
Phone (956) 631-4444

Other practice location 2

33 Turnpike Rd
Southborough, MA 01772-2108
Phone (508) 481-1015 ext. 3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191202002569 MA Practitioner - Nurse Practitioner 4789606039 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
722128TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc CurrentSince Dec 9, 2019 Accepting new patients
The New England Center for Children, Inc. PastSince Jul 24, 2022 Accepting new patients
G Scot Johnson M D P a Past Accepting new patients

Locations

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1iSUCOMo-1LnA2beSKjvOuwrZcTnFbq7/
  • Direct secure messaging: kia.mccarthy.npi1194770289.reliant@direct.optumcare.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1194770289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 STATE ST STE 106",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092136",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5110 N 10th St",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785042834",
            "country_code": "US",
            "telephone_number": "956-631-4444",
            "fax_number": "956-631-5478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Turnpike Rd",
            "address_purpose": "LOCATION",
            "city": "Southborough",
            "state": "MA",
            "postal_code": "017722108",
            "country_code": "US",
            "telephone_number": "508-481-1015 x3040",
            "fax_number": "508-303-8542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KIA",
        "middle_name": "J.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MA",
            "license": "RN258399",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "722128",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN258399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.