Michelle Kirley, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

141285NP Issued in MA

Practice address

Evercare
950 Winter Street, Suite 3800
Waltham, MA 02451

Phone

(781) 472-8534

Fax

(781) 472-8801

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497899595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051241",
            "telephone_number": "781-472-8534",
            "fax_number": "781-472-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EVERCARE",
            "address_2": "950 WINTER STREET, SUITE 3800",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02451",
            "telephone_number": "781-472-8534",
            "fax_number": "781-472-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRLEY",
        "first_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "141285NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NURSING LICENSE",
            "identifier": "141-285 NP",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hervey L. Kimball III, MD
• Deborah King, PT
• Deidre Ann King, M.S. CCC-SLP
• Fiona Kinmonth, OTD
• Betty Kinzali, NP
• Jacob Matthew Kirsch, MD
• Anne Kirschner
• Elizabeth Kirstein, PA
• Nina Kischkum
• Nancy M Kivel, M.D.

• Gerontology Nurse Practitioner in Waltham, MA
• Providers in Waltham, MA by specialty
• Gerontology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.