Individual provider Active NPI

Martha Kittredge, FNP-BC

  • Family Nurse Practitioner
  • Somerville, MA
National Provider Identifier
1396633590
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025028237 Issued in MA
Practice address
255 Elm St Ste 301
Somerville, MA 02144-2947
Phone
(617) 666-9577
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 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 2025028237 MA Primary

Addresses

Primary practice location

255 Elm St Ste 301
Somerville, MA 02144-2947

Mailing address

255 Elm St Ste 301
Somerville, MA 02144-2947

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
I20260506000202 MA Practitioner - Nurse Practitioner 9234607573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Square Family PracticeGroup PAC ID 1355385196, 6 clinicians

Practice addresses (Care Compare)

255 Elm St
Suite 301
Somerville, MA 02144-2947
Phone (617) 666-9577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025028237MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Square Family Practice CurrentSince Jun 29, 2025 Accepting new patients

Locations

255 Elm St
Ste 301
Somerville, MA 02144
Phone (617) 666-9577

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.

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1396633590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ELM ST STE 301",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ELM ST STE 301",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442947",
            "telephone_number": "617-666-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTREDGE",
        "first_name": "MARTHA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2025028237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.