Active NPI
Kathleen F McCarthy, NP
- Gerontology Nurse Practitioner
- West Springfield, MA
National Provider Identifier
1457474074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 102007
- Practice address
- 1132 Westfield St
West Springfield, MA 01089-3878 - Phone
- (413) 592-1980
- Fax
- (413) 439-0096
- NPI assigned
- Apr 9, 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 102007 | MA | Primary |
Addresses
Primary practice location
1132 Westfield St
West Springfield, MA 01089-3878
Mailing address
144 Rindge Ave
Cambridge, MA 02140-2527
Phone (617) 441-8566
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102007 | MA | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1457474074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 RINDGE AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402527",
"telephone_number": "617-441-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 WESTFIELD ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010893878",
"telephone_number": "413-592-1980",
"fax_number": "413-439-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "KATHLEEN",
"middle_name": "F",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "102007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.