Kathleen E Genetti, APRN
Individual provider Active NPI Family Nurse Practitioner · Hampton, NH
NPI 1245897263 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1245897263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 067449-23 (NH)
- Practice address
- 1 Merrill Dr Industrial Building E
St 26
Hampton, NH 03842 - Phone
- (603) 783-1087
- NPI assigned
- May 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Revere Medical of Massachusetts PC
Practice addresses (Care Compare)
18 Main St
Suite 104
Townsend, MA 01469-1300
Phone (978) 597-9091
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190920000557 | MA | Practitioner - Nurse Practitioner | 0244560027 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2275105 | MA | MD | Family Nurse Practitioner |
| 067449-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Medical of Massachusetts, PC | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients |
Locations
198 Groton Rd
Ste 3
Ayer, MA 01432
Phone (978) 784-9831
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050
15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438
788 Boston Rd
Groton, MA 01450
Phone (978) 449-0282
497 Main St
#4B
Groton, MA 01450
Phone (797) 784-9975
18 Main St
Ste 104
Townsend, MA 01469
Phone (978) 597-9091
Interoperability endpoints
- kathleen.genetti.1@32866.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2275105 | MA | |
| Family Nurse Practitioner | 363LF0000X | 067449-23 | NH | Yes |
Addresses
Primary practice location
1 Merrill Dr Industrial Building E
St 26
Hampton, NH 03842
Mailing address
1 Merrill Drive Industrial Building E
St 26
Hampton, NH 03842
Phone (603) 783-1087
Other practice location 1
788 Boston Rd
Groton, MA 01450-2056
Phone (978) 449-0282
Other providers in Hampton, NH
- Theresa Fortier
- Shirley A Frederick
- Maureen Gallagher
- Edward Arnold Ganley
- Lisa Ganley
- Frank Alan Gesek
- Theresa Anderson Girard
- Brenda Ann Givens
- Giving It Up, Corp
- Jessica M Goode
All providers in Hampton, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.