Active NPI
Kayla Tudryn
- Reproductive Endocrinology Physician
- Chicopee, MA
National Provider Identifier
1376217182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- S09981228
- Practice address
- 53 Langevin St
Chicopee, MA 01020-4031 - Phone
- (413) 887-7226
- NPI assigned
- Aug 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | S09981228 | MA | Primary |
Addresses
Primary practice location
53 Langevin St
Chicopee, MA 01020-4031
Mailing address
53 Langevin St
Chicopee, MA 01020-4031
Phone (413) 887-7226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100043969219 | Medicaid | MA |
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 |
|---|---|---|---|
| S09981228 | MA | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1376217182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 LANGEVIN ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010204031",
"telephone_number": "413-887-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 LANGEVIN ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010204031",
"telephone_number": "413-887-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUDRYN",
"first_name": "KAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MA",
"license": "S09981228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100043969219",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.