Active NPI
Kimberly Sue Quinn, APRN
- Family Nurse Practitioner
- Dedham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2281552
- Practice address
- 947 Providence Hwy
Dedham, MA 02026 - Phone
- (866) 389-2727
- NPI assigned
- Sep 14, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2281552 | MA | Primary |
Addresses
Primary practice location
947 Providence Hwy
Dedham, MA 02026
Mailing address
947 Providence Hwy
Dedham, MA 02026-6838
Phone (866) 389-2727
Other practice location 1
978 Boylston Street
MinuteClinic - Newton
Newton, MA 02464
Phone (866) 389-2727
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 S St
Chestnut Hill, MA 02467-3658
Phone (617) 469-0300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2281552 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Psychiatric Planners, Inc | Current | Accepting new patients | |
| Square Medical Group LLC | Current | Accepting new patients |
Locations
300 South St
Chestnut Hill, MA 02467
Phone (617) 469-0300
884 Washington St
Fl 1
Weymouth, MA 02189
Phone (781) 812-1643
884 Washington St
Fl 2
Weymouth, MA 02189
Phone (617) 447-2146
Organizations & group practices 2
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.
-
- Psychiatric Hospital
- Brookline, MA
- NPI 1093714412
-
- Adult Mental Health Clinic/Center
- Watertown, MA
- NPI 1356515464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1336499532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 PROVIDENCE HWY",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266838",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "947 PROVIDENCE HWY",
"city": "DEDHAM",
"state": "MA",
"postal_code": "02026",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "978 Boylston Street",
"address_2": "MinuteClinic - Newton",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "02464",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINN",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2281552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.