Kelly L Hargett, PMHNP-BC

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

258985 Issued in MA

Practice address

1385 Lakeview Avenue
Dracut, MA 01826-3414

Phone

(978) 545-1442

Fax

(978) 545-1552

NPI assigned

Feb 15, 2006

Last updated

Jul 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

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.

• Light Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dracut, MA
  • NPI 1073387346
  Medicare reassignment NPD Authorized official
• DO Not Use - the Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1013983287
  NPD (past)
• LGH Physician Associates, Inc

  • Family Medicine Physician
  • Lowell, MA
  • NPI 1972596146

  Nurse Practitioner

  NPD (past)
• LGH Professional Services LLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1417485541
  NPD (past)
• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1487628566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SINGLEFOOT RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241926",
            "telephone_number": "978-545-1442",
            "fax_number": "978-545-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 LAKEVIEW AVENUE",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018263414",
            "telephone_number": "978-545-1442",
            "fax_number": "978-545-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGETT",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MA",
            "license": "258985",
            "primary": true
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "258985",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0703648",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA17334",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NP9680",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sedigheh Hamzehzadeh, PHARMD
• Soterios Hantzis
• Happy Valley Transportation LLC
• Jennifer L Hawkes, M.S.,CCC-SLP
• Health Care Family Pharmacy
• Health Care Family Pharmacy
• Health Care Family Pharmacy LLC
• Hill Eye Associates, PLLC

• Clinical Nurse Specialist in Dracut, MA
• Providers in Dracut, MA by specialty
• Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.