Individual provider Active NPI

Kristen Dorothy Wang

  • Emergency Registered Nurse
  • Watertown, MA
National Provider Identifier
1255230983
Registry record updated Oct 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
RN2339489 Issued in MA
Practice address
101 Morse St Apt 103
Watertown, MA 02472-1638
Phone
(860) 778-4073
NPI assigned
Oct 31, 2026
Last updated
Oct 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN2339489 MA Primary

Addresses

Primary practice location

101 Morse St Apt 103
Watertown, MA 02472-1638

Mailing address

101 Morse St Apt 103
Watertown, MA 02472-1638
Phone (860) 778-4073

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1793404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793404800000",
    "number": "1255230983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MORSE ST APT 103",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721638",
            "telephone_number": "860-778-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MORSE ST APT 103",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721638",
            "telephone_number": "860-778-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KRISTEN",
        "middle_name": "DOROTHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-31",
        "last_updated": "2026-10-31",
        "certification_date": "2026-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MA",
            "license": "RN2339489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2026; 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.