Kelly Powers, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

201914046 Issued in MA

Practice address

8 Verndale St Apt 3
Brookline, MA 02446-2474

Phone

(518) 683-0117

NPI assigned

Jul 25, 2019

Last updated

Jul 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1609420926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 VERNDALE ST APT 3",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462474",
            "telephone_number": "518-683-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 VERNDALE ST APT 3",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462474",
            "telephone_number": "518-683-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "201914046",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2320206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynn Singleton Porto, PHD
• Lauren Post, LICSW
• Margaret M Pothier, CRNA
• Frisso A Potts, M.D.
• Delaram Pourhakimy
• Lynne Powers, PT
• Despina Denise Prassas, PH.D., BSN, MSN
• Elizabeth M Pratt, PH.D.
• Kelly M Pratt, LCSW
• Premier Oral Surgery and Implantology PLLC

• Pediatric Nurse Practitioner in Brookline, MA
• Providers in Brookline, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.