Individual provider Active NPI

Kimberly Lai, DNP, FNP-BC

  • Family Nurse Practitioner
  • Arlington, MA
National Provider Identifier
1245009117
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023166240 Issued in MA
Practice address
1 Watermill PL Unit 307
Arlington, MA 02476-4142
Phone
(201) 874-2203
NPI assigned
Dec 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2363429 MA
Family Nurse Practitioner 363LF0000X 2023166240 MA Primary

Addresses

Primary practice location

1 Watermill PL Unit 307
Arlington, MA 02476-4142

Mailing address

1 Watermill PL Unit 307
Arlington, MA 02476-4142
Phone (201) 874-2203

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
I20241205000851 MA Practitioner - Nurse Practitioner 7618403353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joslin Clinic IncGroup PAC ID 5092794883, 53 clinicians

Practice addresses (Care Compare)

1 Joslin PL
Boston, MA 02215-5306
Phone (617) 732-2400

Hospital & facility affiliations

  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2363429MAMDRegistered Nurse
2023166240MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joslin Clinic Inc CurrentSince Sep 1, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

1 Joslin Pl
Boston, MA 02215
Phone (617) 309-2400

Interoperability endpoints

  • Direct secure messaging: klai195712@direct.bilh.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1245009117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WATERMILL PL UNIT 307",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764142",
            "telephone_number": "201-874-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WATERMILL PL UNIT 307",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764142",
            "telephone_number": "201-874-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "KIMBERLY",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2363429",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2023166240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.