Active NPI
Kia Beverly Prescott, PA-C
- Physician Assistant
- Boston, MA
National Provider Identifier
1447444948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AP2380
- Practice address
- 44 Binney St
Suite D1210
Boston, MA 02115-6013 - Phone
- (617) 632-6318
- Fax
- (617) 632-3479
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AP2380 | MA | Primary |
Addresses
Primary practice location
44 Binney St
Suite D1210
Boston, MA 02115-6013
Mailing address
44 Binney St
Suite D1210
Boston, MA 02115-6013
Phone (617) 632-6318
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2380 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
450 Brookline Ave
Ste 1421
Boston, MA 02215
Interoperability endpoints
- prescott.kia.dfci@direct.partners.masshiway.net
Organizations & group practices 2
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.
-
dba Binney Medical Associates
- Special Hospital
- Boston, MA
- NPI 1346433257
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1265464598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1447444948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BINNEY ST",
"address_2": "SUITE D1210",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156013",
"telephone_number": "617-632-6318",
"fax_number": "617-632-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BINNEY ST",
"address_2": "SUITE D1210",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156013",
"telephone_number": "617-632-6318",
"fax_number": "617-632-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOTT",
"first_name": "KIA",
"middle_name": "BEVERLY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "AP2380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
- Brianna Prescott
- Decima T Prescott, NP
- Emma Prescott
- Julia Prescott, N.P.
- Julia Prescott
- President and Fellows of Harvard College
- President and Fellows of Harvard College (Harvard Dental Center FGP)
- President and Fellows of Harvard College (Harvard Dental Center)
- President and Fellows of Harvard College (Harvard Dental Center TP)
- Daniel Zvi Press, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.