Individual provider Active NPI

Alana Laurie Kaczmarek, CPNP, APRN, MSN

  • Pediatric Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1396860599
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
281855 Issued in MA
Practice address
230 Maple St Ste 1
Holyoke, MA 01040-5140
Phone
(134) 420-2200
Fax
(413) 539-9472
NPI assigned
Mar 20, 2007
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 281855 MA Primary

Addresses

Primary practice location

230 Maple St Ste 1
Holyoke, MA 01040-5140

Mailing address

230 Maple St Ste 1
Holyoke, MA 01040-5140
Phone (413) 420-2200

Other practice location 1

300 Longwood Ave
Children's Hospital Boston CHPCC (Hunnewell G)
Boston, MA 02115-5724
Phone (617) 355-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000167 MA Practitioner - Nurse Practitioner 2264539295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003451CTMDOccupational Therapist
281855MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Health Center Inc. CurrentSince Jan 1, 2024 Accepting new patients
Chicopee Health Center Pharmacy CurrentSince Jan 1, 2024 Accepting new patients
Holyoke Health Center Inc. PastSince Mar 3, 2024 Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients

Locations

505 Front St
Chicopee, MA 01013
Phone (413) 420-2222

230 Maple St
Holyoke, MA 01040
Phone (413) 322-7380

230 Maple St
Ste 1
Holyoke, MA 01040

Interoperability endpoints

  • Direct secure messaging: akaczmarek46832@direct.ctc.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1396860599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST STE 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405140",
            "telephone_number": "413-420-2200",
            "fax_number": "413-539-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST STE 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405140",
            "telephone_number": "134-420-2200",
            "fax_number": "413-539-9472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_2": "Children's Hospital Boston CHPCC (Hunnewell G)",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACZMAREK",
        "first_name": "ALANA",
        "middle_name": "LAURIE",
        "credential": "CPNP, APRN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "281855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.