NPIMap

Organization Active NPI

Peak Pediatric Care, PLLC

  • Pediatrics Physician
  • North Attleboro, MA
National Provider Identifier
1457020596
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEAK PEDIATRIC CARE, PLLC
Practice address
652 E Washington St Unit 2
North Attleboro, MA 02760-2488
Phone
(508) 576-5010
Fax
(508) 213-3685
NPI assigned
Sep 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Dr. Kathryn Hansen, MD
Title
Physician/Owner
Phone
(508) 576-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

652 E Washington St Unit 2
North Attleboro, MA 02760-2488

Mailing address

652 E Washington St Unit 2
North Attleboro, MA 02760-2488
Phone (508) 576-5010

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2247220Peak Pediatric Care PLLC652 E Washington Street, Unit 2, North Attleboro, MA 02760Certificate of waiverJan 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1457020596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 E WASHINGTON ST UNIT 2",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602488",
            "telephone_number": "508-576-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 E WASHINGTON ST UNIT 2",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602488",
            "telephone_number": "508-576-5010",
            "fax_number": "508-213-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PEDIATRIC CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "508-576-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.