Kevin Myers, NP, MSN, ACRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2259976 Issued in MA

Practice address

1193R N Main St
Randolph, MA 02368-2135

Phone

(339) 987-5552

Fax

(339) 987-5554

NPI assigned

Nov 16, 2015

Last updated

Oct 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Health Innovations Inc.

  • Public Health or Welfare Agency
  • Randolph, MA
  • NPI 1497536684
  NPD Authorized official
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  NPD (past)

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1508230517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CRESSON AVE",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561264",
            "telephone_number": "856-873-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193R N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682135",
            "telephone_number": "339-987-5552",
            "fax_number": "339-987-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "NP, MSN, ACRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2259976",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2259976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Y Mudge, MD
• Nicole Mullin
• Nathaniel Murray
• Edwin Mutonya
• Jennifer Muyizzi
• Stephen J Myers, D.M.D.
• Myeyedr Optometry of Massachusetts P C (MyEyeDr.)
• Joan Nabweteme, REGISTERED NURSE
• Stephen Christopher Nadel, LICSW, EDD
• Yumiko Nakai

• Nurse Practitioner in Randolph, MA
• Providers in Randolph, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.