Individual provider Active NPI

Katelyn Igo, FNP-C

  • Family Nurse Practitioner
  • Reading, MA
National Provider Identifier
1376353698
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2326373 Issued in MA
Practice address
30 New Crossing Rd Ste 301
Reading, MA 01867-3271
Phone
(781) 942-0380
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2326373 MA Primary

Addresses

Primary practice location

30 New Crossing Rd Ste 301
Reading, MA 01867-3271

Mailing address

30 New Crossing Rd Ste 301
Reading, MA 01867-3271
Phone (781) 942-0380

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324001647 MA Practitioner - Nurse Practitioner 6901328541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

30 New Crossing Rd
Reading, MA 01867-3271

425 Revere St
Revere, MA 02151-4543
Phone (781) 665-6606

Hospital & facility affiliations

  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2326373MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health Medical Associates Inc Family CurrentSince Feb 21, 2025 Accepting new patients

Locations

30 New Crossing Rd
Ste 301
Reading, MA 01867
Phone (781) 942-0380

30 New Crossing Rd
Ste 300
Reading, MA 01867
Phone (781) 213-5150

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

Interoperability endpoints

  • Direct secure messaging: kigo134047@tuftsmedicine.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1376353698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEW CROSSING RD STE 301",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673271",
            "telephone_number": "781-942-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEW CROSSING RD STE 301",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673271",
            "telephone_number": "781-942-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGO",
        "first_name": "KATELYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2326373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

Verify at the official NPI Registry.