Kimberly Marie Kafouse, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2277358 Issued in MA

Practice address

29 Deer Path LN
Weston, MA 02493-1139

Phone

(781) 642-1912

NPI assigned

Aug 17, 2021

Last updated

Apr 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ajay Anand MD PC

  • Internal Medicine Physician
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  • NPI 1558403154
  Medicare reassignment NPD
• Circle Medical Team LLC

  • Internal Medicine Physician
  • Walpole, MA
  • NPI 1942832027
  Medicare reassignment NPD
• Ajay Anand MD PC

  • Nursing Facility/Intermediate Care Facility
  • Weston, MA
  • NPI 1376093260
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1316613797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DEER PATH LN",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931139",
            "telephone_number": "781-642-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 DEER PATH LN",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931139",
            "telephone_number": "781-642-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFOUSE",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2277358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Leanne Johnson, WHNP-BC
• Dianna Marie Jones, DNP
• Pevel Jordan, PMHNP-BC
• Sheela Joshi
• JZ Eye Care, LLC
• Elizabeth Kalemos
• Amarachi J. Kalu
• Elizabeth Maree Kane, RN
• Tae Hyun Kang
• Margaret E Karg

• Family Nurse Practitioner in Weston, MA
• Providers in Weston, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.