Individual provider Active NPI

Kathleen E Genetti, APRN

  • Family Nurse Practitioner
  • Hampton, NH
National Provider Identifier
1245897263
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
067449-23 Issued in NH
Practice address
1 Merrill Dr Industrial Building E
St 26
Hampton, NH 03842
Phone
(603) 783-1087
NPI assigned
May 24, 2019
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2275105 MA
Family Nurse Practitioner 363LF0000X 067449-23 NH Primary

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

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
I20190920000557 MA Practitioner - Nurse Practitioner 0244560027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

18 Main St
Suite 104
Townsend, MA 01469-1300
Phone (978) 597-9091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2275105MAMDFamily Nurse Practitioner
067449-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC CurrentSince Oct 30, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 31, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 31, 2021 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

497 Main St
#4B
Groton, MA 01450
Phone (797) 784-9975

788 Boston Rd
Groton, MA 01450
Phone (978) 449-0282

18 Main St
Ste 104
Townsend, MA 01469
Phone (978) 597-9091

Interoperability endpoints

  • Direct secure messaging: kathleen.genetti.1@32866.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1245897263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERRILL DRIVE INDUSTRIAL BUILDING E",
            "address_2": "ST 26",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "03842",
            "telephone_number": "603-783-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERRILL DR INDUSTRIAL BUILDING E",
            "address_2": "ST 26",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "03842",
            "telephone_number": "603-783-1087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "788 Boston Rd",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "MA",
            "postal_code": "014502056",
            "country_code": "US",
            "telephone_number": "978-449-0282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENETTI",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2275105",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "067449-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

Verify at the official NPI Registry.