Individual provider Active NPI

Katherine Schaffer Attia, CPNP

  • Pediatric Nurse Practitioner
  • Peabody, MA
National Provider Identifier
1578875571
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN280493 Issued in MA
Practice address
485 Lowell St
Peabody Veterans Memorial High Student Center
Peabody, MA 01960-1329
Phone
(978) 536-4720
Fax
(978) 536-4760
NPI assigned
Jul 7, 2010
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 063179-23 NH
Pediatric Nurse Practitioner 363LP0200X RN280493 MA Primary

Addresses

Primary practice location

485 Lowell St
Peabody Veterans Memorial High Student Center
Peabody, MA 01960-1329

Mailing address

27 Congress St Ste 513
Salem, MA 01970-5523
Phone (978) 744-8388

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430000330 MA Order and Referring Only - Nurse Practitioner 9931332822

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN280493MAMDPediatric Nurse Practitioner
063179-23NHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Community Health, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kattia18508@direct.ctc.masshiway.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1578875571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST STE 513",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705523",
            "telephone_number": "978-744-8388",
            "fax_number": "978-744-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 LOWELL ST",
            "address_2": "PEABODY VETERANS MEMORIAL HIGH STUDENT CENTER",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601329",
            "telephone_number": "978-536-4720",
            "fax_number": "978-536-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIA",
        "first_name": "KATHERINE",
        "middle_name": "SCHAFFER",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NH",
            "license": "063179-23",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN280493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.