Individual provider Active NPI

Kathleen Rose Markiewicz, NP

  • Women's Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1558840942
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN2318535 Issued in MA
Practice address
2300 Washington St
Boston, MA 02119-3213
Phone
(617) 635-6788
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN2318535 MA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN2318535 MA
Women's Health Nurse Practitioner 363LW0102X RN2318535 MA Primary

Addresses

Primary practice location

2300 Washington St
Boston, MA 02119-3213

Mailing address

2300 Washington St
Boston, MA 02119-3213
Phone (617) 635-6788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2318535MAMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1558840942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021193213",
            "telephone_number": "617-635-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021193213",
            "telephone_number": "617-635-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKIEWICZ",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MA",
            "license": "RN2318535",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "RN2318535",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2318535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.