Individual provider Active NPI

Elizabeth B Kay, GNP-BC

  • Gerontology Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1598122863
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN251761 Issued in MA
Practice address
555 Plantation St
Worcester, MA 01605-2376
Phone
(508) 852-5505
NPI assigned
Jan 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2015019131 MO
Gerontology Nurse Practitioner 363LG0600X RN251761 MA Primary

Addresses

Primary practice location

555 Plantation St
Worcester, MA 01605-2376

Mailing address

555 Plantation St
Worcester, MA 01605-2376
Phone (508) 852-5505

Other practice location 1

1500 Meadow Lake Pkwy
Ste 200
Kansas City, MO 64114-1600
Phone (816) 363-2600

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
I20190506002836 MA Practitioner - Nurse Practitioner 8224333190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

555 Plantation St
Worcester, MA 01605-2376
Phone 50885255052510

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN251761MAMDGerontology Nurse Practitioner
2015019131MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Dimensions, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Care Dimensions, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Notre Dame Health Care Center, Inc. CurrentSince Nov 15, 2021 Accepting new patients

Locations

75 Sylvan St
Ste B102
Danvers, MA 01923
Phone (888) 283-1722

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/caredimensions

Organizations & group practices 3

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": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1598122863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052376",
            "telephone_number": "508-852-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052376",
            "telephone_number": "508-852-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Meadow Lake Pkwy",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641141600",
            "country_code": "US",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAY",
        "first_name": "ELIZABETH",
        "middle_name": "B",
        "credential": "GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2015019131",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN251761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.