Individual provider Active NPI

Caryn Kazanjian, RN, MSN, AGACNP-BC

  • Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1235677550
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201523 Issued in MA
Practice address
Spaulding Hospital Cambridge - Floor 2W
1575 Cambridge St
Cambridge, MA 02138-2620
Phone
(617) 416-7418
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201523 MA Primary
Nurse Practitioner 363L00000X 201523RN MA

Addresses

Primary practice location

Spaulding Hospital Cambridge - Floor 2W
1575 Cambridge St
Cambridge, MA 02138-2620

Mailing address

7 Main St
Charlestown, MA 02129-3758
Phone (617) 416-7418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
201523MAMDNurse Practitioner
201523RNMAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1235677550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MAIN ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293758",
            "telephone_number": "617-416-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPAULDING HOSPITAL CAMBRIDGE - FLOOR 2W",
            "address_2": "1575 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382620",
            "telephone_number": "617-416-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZANJIAN",
        "first_name": "CARYN",
        "credential": "RN, MSN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "201523",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "201523RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.