Individual provider Active NPI

Katherine Flaherty

  • Registered Nurse
  • Malden, MA
National Provider Identifier
1497539522
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2358830 Issued in MA
Practice address
12 Quarry LN Apt 3122
Malden, MA 02148-7768
Phone
(203) 859-8128
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2358830 MA Primary

Addresses

Primary practice location

12 Quarry LN Apt 3122
Malden, MA 02148-7768

Mailing address

12 Quarry LN Apt 3122
Malden, MA 02148-7768
Phone (203) 859-8128

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205002292 MA Practitioner - Nurse Practitioner 8921457714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

120 S Main St
Centerville, MA 02632-3246
Phone (508) 778-1835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2358830MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

8 Lewis Point Rd
Buzzards Bay, MA 02532
Phone (508) 743-8120

120 S Main St
Centerville, MA 02632
Phone (508) 775-1835

184 Main St
Fairhaven, MA 02719
Phone (508) 742-3737

123 South St
Plymouth, MA 02360
Phone (508) 746-4343

37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

605 Main St
Wareham, MA 02571
Phone (508) 291-3916

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1497539522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 QUARRY LN APT 3122",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021487768",
            "telephone_number": "203-859-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 QUARRY LN APT 3122",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021487768",
            "telephone_number": "203-859-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2358830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.