Individual provider Active NPI

Kayla Trockman, PA

  • Physician Assistant
  • Milford, MA
National Provider Identifier
1417681669
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
20 Prospect St
Milford, MA 01757-3042
Phone
(508) 488-3700
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

20 Prospect St
Milford, MA 01757-3042

Mailing address

10 Teris Way
Franklin, MA 02038-3206
Phone (774) 571-9928

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.dana-farber.org/

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
I20220830003661 MA Practitioner - Physician Assistant 9032593785 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Sep 1, 2022 Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

20 Prospect St
Milford, MA 01757
Phone (508) 478-2061

Interoperability endpoints

  • Direct secure messaging: trockman.kayla.dfci@direct.partners.masshiway.net

Organizations & group practices 3

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": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1417681669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TERIS WAY",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020383206",
            "telephone_number": "774-571-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573042",
            "telephone_number": "508-488-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCKMAN",
        "first_name": "KAYLA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.dana-farber.org/",
            "affiliation": "N",
            "address_1": "20 Prospect St",
            "city": "Milford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017573042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.