Kerry Lee O'Connor, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

192280 Issued in MA

Practice address

120 Thomas St
Worcester, MA 01608-1223

Phone

(508) 756-7176

Fax

(508) 792-4927

NPI assigned

Aug 8, 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1548451156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 THOMAS ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081223",
            "telephone_number": "508-756-7176",
            "fax_number": "508-792-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 THOMAS ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081223",
            "telephone_number": "508-756-7176",
            "fax_number": "508-792-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KERRY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "192280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer O'Connor
• Jessica O'Connor
• John J. O'Connor Jr., M.D.
• June R O'Connor, M.D.
• Katie O'Connor
• Kristen O'Connor
• Laurel C. O'Connor, MD
• Margret Paul O'Connor, CNP
• Mark Joseph O'Connor, M.D.
• Samantha O'Connor

• Adult Health Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.

Verify at the official NPI Registry.