Kristin Farrell Wason

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN2262692 Issued in MA

Practice address

725 Albany St
General Internal Medicine
Boston, MA 02118-2526

Phone

(617) 414-5951

Fax

(617) 414-9157

NPI assigned

Feb 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kristin Farrell Wensley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kwason9115@direct.bmc.masshiway.net

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.

• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1346218294
  NPD

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1366980302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MASSACHUSETTS AVE",
            "address_2": "SECOND FLOOR, SUITE 2027D",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182605",
            "telephone_number": "617-414-4176",
            "fax_number": "617-414-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALBANY ST",
            "address_2": "GENERAL INTERNAL MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182526",
            "telephone_number": "617-414-5951",
            "fax_number": "617-414-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASON",
        "first_name": "KRISTIN",
        "middle_name": "FARRELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MA",
            "license": "RN2262692",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2262692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110122621A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WENSLEY",
            "middle_name": "FARRELL",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Komal Wasif, MS
• Abdul Wasio, MD
• Sydney Waslewski, DPT
• Lauren Elizabeth Wasley, NP
• Stephanie Michelle Waslin, PHD
• Shaun E. Wason, MD
• Nathan Wass, M.D.
• Abigail Wassel, PH.D.
• Alexis J Wasserman, BSN, RN
• Isaac Wasserman, MD MPH

• Gerontology Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Gerontology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.