Individual provider Active NPI

Kathleen Dionne, N.P.

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1255700753
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2298248 Issued in MA
Practice address
300 Brookline Ave
Boston, MA 02215-5403
Phone
(617) 667-2900
Fax
(617) 667-9711
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 RN2298248 MA
Family Nurse Practitioner 363LF0000X RN2298248 MA Primary

Addresses

Primary practice location

300 Brookline Ave
Boston, MA 02215-5403

Mailing address

300 Brookline Ave
Boston, MA 02215-5403
Phone (617) 667-2900

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
I20160111001628 MA Practitioner - Nurse Practitioner 6608178454 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 10, 2017 Accepting new patients
Steward St. Elizabeth'S Medical Center of Boston, Inc. CurrentSince Mar 15, 2017 Accepting new patients
Steward St. Elizabeth'S Medical Center of Boston, Inc. CurrentSince Mar 15, 2017 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 10, 2017 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 10, 2017 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 10, 2017 Accepting new patients
Steward Medical Group, Inc Past Accepting new patients

Locations

300 Brookline Ave
Boston, MA 02215
Phone (617) 667-2900

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376

77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200

Interoperability endpoints

  • Direct secure messaging: kdionne253553@direct.bilh.masshiway.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255700753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155403",
            "telephone_number": "617-667-2900",
            "fax_number": "617-667-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155403",
            "telephone_number": "617-667-2900",
            "fax_number": "617-667-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONNE",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2298248",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2298248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.