Active NPI
Kerry Elizabeth Lundin, PA-C
- Physician Assistant
- Middleboro, MA
National Provider Identifier
1508011396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2622
- Practice address
- 8 Commerce Blvd
Middleboro, MA 02346-1030 - Phone
- (508) 350-2350
- Fax
- (508) 350-2318
- NPI assigned
- Nov 21, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2622 | MA | Primary |
Addresses
Primary practice location
8 Commerce Blvd
Middleboro, MA 02346-1030
Mailing address
362 N Bedford St
East Bridgewater, MA 02333-1148
Phone (508) 350-2350
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Wellesley Hospital | Current | Accepting new patients |
Locations
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
Interoperability endpoints
- lundin.kerry.nwh@direct.partners.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.
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- Emergency Medicine Physician
- Newton, MA
- NPI 1346355526
-
- General Acute Care Hospital
- Newton, MA
- NPI 1952845521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1508011396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 N BEDFORD ST",
"city": "EAST BRIDGEWATER",
"state": "MA",
"postal_code": "023331148",
"telephone_number": "508-350-2350",
"fax_number": "508-350-2318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 COMMERCE BLVD",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023461030",
"telephone_number": "508-350-2350",
"fax_number": "508-350-2318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDIN",
"first_name": "KERRY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "2622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.