Active NPI
Kerry McGovern
- Audiologist
- Boston, MA
National Provider Identifier
1336020726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD100184
- Practice address
- 830 Harrison Ave Ste 1400
Boston, MA 02118-2905 - Phone
- (617) 414-8124
- NPI assigned
- Sep 11, 2025
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD100184 | MA | Primary |
Addresses
Primary practice location
830 Harrison Ave Ste 1400
Boston, MA 02118-2905
Mailing address
25 Oriole St # 1
West Roxbury, MA 02132-2616
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD100184 | MA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1336020726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ORIOLE ST # 1",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021322616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 HARRISON AVE STE 1400",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182905",
"telephone_number": "617-414-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOVERN",
"first_name": "KERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "AUD100184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.