Kathryn Mary Hurley, PNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN2270489 Issued in MA

Practice address

300 First Ave
8TH Floor Pediatrics
Charlestown, MA 02129

Phone

(617) 952-5800

Fax

(617) 952-5968

NPI assigned

Jan 31, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Mary O'Brien Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hurley.kathryn.epa@direct.partners.masshiway.net
• Direct secure messaging: obrien.kathryn.srh@direct.partners.masshiway.net

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.

• Emerson Practice Associates, Inc.

  • Internal Medicine Physician
  • Concord, MA
  • NPI 1508020199
  Medicare reassignment NPD
• The Shriners' Hospital for Children

  • Pediatric Orthopaedic Surgery Physician
  • Springfield, MA
  • NPI 1285078444
  Medicare reassignment NPD
• The Shriners' Hospital for Children

  • Pediatric Surgery Physician
  • Boston, MA
  • NPI 1366886525
  NPD
• The Shriners' Hospital for Children

  • Rehabilitation Clinic/Center
  • Springfield, MA
  • NPI 1811611825
  NPD
• The Spaulding Rehabilitation Hospital Corporation

  • Rehabilitation Hospital
  • Charlestown, MA
  • NPI 1780600825
  NPD

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1215474077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FIRST AVE",
            "address_2": "8TH FLOOR PEDIATRICS",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "02129",
            "telephone_number": "617-952-5800",
            "fax_number": "617-952-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FIRST AVE",
            "address_2": "8TH FLOOR PEDIATRICS",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "02129",
            "telephone_number": "617-952-5800",
            "fax_number": "617-952-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "credential": "PNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2270489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "O'BRIEN",
            "middle_name": "MARY",
            "credential": "PNP-PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tia Andrea Horner, MD
• House of Creativity and Celebration LLC
• Mary Howard, LMHC
• Isabel J Hughes
• Alexina Leora Hurley, CCC-SLP
• KT Huskins
• Olasunbo Yetunde Ibrahim, APRN, FNP- BC
• Icare Therapy Ma LLC
• Aazeen Imran, MS, CCC-SLP
• Melissa Jacobo, LICSW, MAT

• Pediatric Nurse Practitioner in Charlestown, MA
• Providers in Charlestown, 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 Apr 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.