Individual provider Active NPI

Theresa Kafina, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Needham, MA
National Provider Identifier
1245515618
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN119157 Issued in MA
Practice address
220 Reservoir St Ste 21
Needham, MA 02494-3133
Phone
(781) 429-7755
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN199157 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN119157 MA Primary

Addresses

Primary practice location

220 Reservoir St Ste 21
Needham, MA 02494-3133

Mailing address

220 Reservoir St Ste 21
Needham, MA 02494-3133
Phone (781) 429-7755

Other practice location 1

101 Coolidge St
Hudson, MA 01749-1354
Phone (978) 562-3536

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
I20120203000109 MA Practitioner - Nurse Practitioner 7214194265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN199157MAMDAdult Health Nurse Practitioner
RN119157MAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1245515618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RESERVOIR ST STE 21",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943133",
            "telephone_number": "781-429-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RESERVOIR ST STE 21",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943133",
            "telephone_number": "781-429-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Coolidge St",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "MA",
            "postal_code": "017491354",
            "country_code": "US",
            "telephone_number": "978-562-3536",
            "fax_number": "978-562-4626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAFINA",
        "first_name": "THERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN199157",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN119157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.