Kathleen Laura Deery, AGNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN2331556 Issued in MA

Practice address

414 Washington St
Dedham, MA 02026-4446

Phone

(781) 821-0734

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kate Deery Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1609626795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHERRY LN",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847204",
            "telephone_number": "781-910-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 WASHINGTON ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264446",
            "telephone_number": "781-821-0734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Grossman Dr",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021844952",
            "country_code": "US",
            "telephone_number": "781-843-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEERY",
        "first_name": "KATHLEEN",
        "middle_name": "LAURA",
        "name_prefix": "Miss",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2331556",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2331556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "DEERY",
            "credential": "AGNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Primary Care Nurse Practitioner in Dedham, MA
• Providers in Dedham, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.