Active NPI
Kirsten Antoinette Weathers
- Certified Registered Nurse Anesthetist
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 128204
- Practice address
- 235 N Pearl St
Brockton, MA 02301-1794 - Phone
- (508) 427-3000
- NPI assigned
- Jun 6, 2017
- 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 | 128204 | MA | Primary |
Addresses
Primary practice location
235 N Pearl St
Brockton, MA 02301-1794
Mailing address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Phone (617) 645-5841
Other practice location 1
2 Pond Park Rd
Hingham, MA 02043-4347
Phone (781) 624-8000
Other practice location 2
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128204 | Other | MA | CRNA |
Other names 1
- Kirsten Antoinette Mattila
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128204 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| South Suburban Gastroenterology, PC | Current | Accepting new patients | |
| Lifespan Physician Group of Massachusetts Inc | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| BMC Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Coastal Medical Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Shore Medical Center, Inc. | Current | Accepting new patients | |
| Gbaa Holdings, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Weymouth Endoscopy, LLC | Past | Accepting new patients |
Locations
45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020
960 Massachusetts Ave
Ste 2
Boston, MA 02118
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
2 Pond Park Rd
Hingham, MA 02043
Phone (781) 337-5555
5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
120 W Center St
West Bridgewater, MA 02379
Phone (508) 230-8181
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
1085 Main St
Weymouth, MA 02190
Phone (781) 331-2922
97 Libbey Park
Ste 300
Weymouth, MA 02189
Phone (781) 331-2922
Interoperability endpoints
- kweathers236225@brownhealth.medalliesdirect.net
- kweathers259838@direct.bmc.masshiway.net
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
-
- Family Medicine Physician
- Taunton, MA
- NPI 1235957713
-
- Diagnostic Radiology Physician
- Milton, MA
- NPI 1245773308
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Acton, MA
- NPI 1790299592
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Boston, MA
- NPI 1093756629
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- Gastroenterology Physician
- South Weymouth, MA
- NPI 1114948478
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Plymouth, MA
- NPI 1568859643
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
- General Acute Care Hospital
- Taunton, MA
- NPI 1609603877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1588193312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE STE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690",
"telephone_number": "617-645-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 N PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011794",
"telephone_number": "508-427-3000"
}
],
"practiceLocations": [
{
"address_1": "2 Pond Park Rd",
"address_purpose": "LOCATION",
"city": "Hingham",
"state": "MA",
"postal_code": "020434347",
"country_code": "US",
"telephone_number": "781-624-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Fogg Rd",
"address_purpose": "LOCATION",
"city": "Weymouth",
"state": "MA",
"postal_code": "021902432",
"country_code": "US",
"telephone_number": "781-624-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEATHERS",
"first_name": "KIRSTEN",
"middle_name": "ANTOINETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "128204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA",
"identifier": "128204",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTEN",
"last_name": "MATTILA",
"middle_name": "ANTOINETTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.