Active NPI
Kathleen Anne Evangelista, CRNA
- Certified Registered Nurse Anesthetist
- Winthrop, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN213785
- Practice address
- 58 Orlando Ave
Winthrop, MA 02152-2248 - Phone
- (617) 846-1982
- NPI assigned
- Dec 22, 2010
- Last updated
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN213785 | MA | Primary |
Addresses
Primary practice location
58 Orlando Ave
Winthrop, MA 02152-2248
Mailing address
58 Orlando Ave
Winthrop, MA 02152-2248
Phone (617) 846-1982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associated Physicians of Harvard Medical Faculty Physicians at Beth IsHarvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
Practice addresses (Care Compare)
125 Parker Hill Ave
Boston, MA 02120-2847
Phone (781) 453-7300
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612
41 Highland Ave
Winchester, MA 01890-1446
Phone (781) 756-2190
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
75 Francis St
Boston, MA 02115
375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-0165
41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000
30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100
Organizations & group practices 15
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.
-
- Anesthesiology Physician
- Winchester, MA
- NPI 1427599588
-
- Pain Medicine (Anesthesiology) Physician
- Winchester, MA
- NPI 1972626117
-
dba APHMFP-Radiology
- Diagnostic Radiology Physician
- Milton, MA
- NPI 1245773308
-
dba APHMFP-Emergency Medicine
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
dba Anesthesia - HMFP at BIDMC
- Anesthesiology Physician
- Boston, MA
- NPI 1093756629
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Internal Medicine Physician
- Salem, NH
- NPI 1083360200
-
dba APHMFP-Anesthesia
- Anesthesiology Physician
- Plymouth, MA
- NPI 1568859643
-
dba Associated Physicians of HMFP
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
dba Emergency Medicine - HMFP at BIDMC
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
dba Harvard Medical Faculty Physicians
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1679397913
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
-
- General Acute Care Hospital
- Roxbury Crossing, MA
- NPI 1699767491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1548564149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 ORLANDO AVE",
"city": "WINTHROP",
"state": "MA",
"postal_code": "021522248",
"telephone_number": "617-846-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 ORLANDO AVE",
"city": "WINTHROP",
"state": "MA",
"postal_code": "021522248",
"telephone_number": "617-846-1982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANGELISTA",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN213785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winthrop, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.