Active NPI
Kathleen Joyce Neimann, N.P.
- Gerontology Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN2281750
- Practice address
- 801 Massachusetts Ave Ste 2
Boston, MA 02118-2605 - Phone
- (617) 414-7399
- NPI assigned
- Aug 25, 2016
- 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 | RN2281750 | MA | Primary |
Addresses
Primary practice location
801 Massachusetts Ave Ste 2
Boston, MA 02118-2605
Mailing address
960 Massachusetts Ave
FL2 Provider Enrollment
Boston, MA 02118-2560
Other names 1
- Kathleen Cooney
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Massachusetts Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8000
72 E Newton St
CR Evans 124
Boston, MA 02118-2308
Phone (617) 638-7253
88 E Newton St
Boston, MA 02118-2308
Phone (617) 414-5405
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2281750 | MA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manet Community Health Center, Inc. | Current | Accepting new patients | |
| Manet Community Health Center, Inc. | Current | Accepting new patients | |
| Evans Medical Foundation, Inc. | Adult Health | Current | Accepting new patients |
| Boston Medical Center Corporation | Current | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
88 Newton St
Boston, MA 02118
Phone (617) 638-7350
110 W Squantum St
Quincy, MA 02171
Phone (617) 376-3000
Interoperability endpoints
- https://api.platform.athenahealth.com/4368/brand/1/csg/1/fhir/r4
- kneimann138914@direct.bmc.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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- North Quincy, MA
- NPI 1114027539
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Federally Qualified Health Center (FQHC)
- Taunton, MA
- NPI 1063123271
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1487109997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE",
"address_2": "FL2 PROVIDER ENROLLMENT",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MASSACHUSETTS AVE STE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182605",
"telephone_number": "617-414-7399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIMANN",
"first_name": "KATHLEEN",
"middle_name": "JOYCE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2024-04-09",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "RN2281750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "COONEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.