Katherine Schaffer Attia, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · Peabody, MA
NPI 1578875571 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1578875571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- RN280493 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140430000330 | MA | Order and Referring Only - Nurse Practitioner | 9931332822 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063179-23 | NH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Community Health, Inc | Past | Accepting new patients |
Interoperability endpoints
- kattia18508@direct.ctc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 063179-23 | NH | |
| Pediatric Nurse Practitioner | 363LP0200X | RN280493 | MA | Yes |
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
Other providers in Peabody, MA
- Atlantic Dental
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- Atrius Health, Inc.
- Atrius Health, Inc.
- Atrius Health, Inc.
- Joseph E. August
- Cassiana Augusto
- Rosedaly Nakisha Aurich
- Aurora Mindcare and Wellness PLLC
- Leonard N Austin
All providers in Peabody, MA · Pediatric Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.