Active NPI
Kathryn Anne Lind, RNP
- Gerontology Nurse Practitioner
- Waltham, MA
National Provider Identifier
1326199597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 107121
- Practice address
- 950 Winter St
Suite 3800
Waltham, MA 02451-1424 - Phone
- (781) 472-8613
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 107121 | MA | Primary |
Addresses
Primary practice location
950 Winter St
Suite 3800
Waltham, MA 02451-1424
Mailing address
25 Albany St
Quincy, MA 02170-2509
Phone (617) 471-8063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107121 | Other | MA | NURSING LICENSE |
| ML03199541 | Other | MA | CONTROLLED SUBSTANCE REGI |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107121 | MA | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1326199597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ALBANY ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021702509",
"telephone_number": "617-471-8063",
"fax_number": "617-471-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 WINTER ST",
"address_2": "SUITE 3800",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511424",
"telephone_number": "781-472-8613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIND",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "107121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "107121",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE REGI",
"identifier": "ML03199541",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.