Active NPI
Kristen Marie Looman, PA
- Physician Assistant
- Brighton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA8308
- Practice address
- 11 Nevins St Ste 403
Brighton, MA 02135-3514 - Phone
- (617) 789-2102
- NPI assigned
- May 12, 2021
- Last updated
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA8308 | MA | Primary |
Addresses
Primary practice location
11 Nevins St Ste 403
Brighton, MA 02135-3514
Mailing address
11 Nevins St Ste 403
Brighton, MA 02135-3514
Phone (617) 789-2102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10721 Main St
Fairfax, VA 22030-6902
Phone (571) 977-6870
2960 Sleepy Hollow Rd
Falls Church, VA 22044-2030
Phone (703) 536-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA8308 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward St. Elizabeth's Medical Center of Boston, Inc. | Current | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
11 Nevins St
Ste 403
Brighton, MA 02135
Phone (617) 254-1247
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200
9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444
Organizations & group practices 5
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.
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Boston, MA
- NPI 1174836852
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1992018782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1205400439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 NEVINS ST STE 403",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353514",
"telephone_number": "617-789-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NEVINS ST STE 403",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353514",
"telephone_number": "617-789-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMAN",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA8308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.