Kathleen Pucci, MSN RN CNL AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN205357 Issued in MA

Practice address

790 Turnpike St Ste 201
North Andover, MA 01845-6138

Phone

(978) 258-3355

NPI assigned

Jan 20, 2016

Last updated

Jan 20, 2016By 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 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Family Medical Center, LLCGroup PAC ID 8729431226, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• United Family Medical Center LLC

  • Primary Care Clinic/Center
  • Newburyport, MA
  • NPI 1275312530
  Medicare reassignment Care Compare group NPD
• Massachusetts Acute Care Specialists PC

  • Internal Medicine Physician
  • Melrose, MA
  • NPI 1306134812
  Medicare reassignment NPD
• Della Mente Therapeutics

  • Psychiatric/Mental Health Nurse Practitioner
  • Danvers, MA
  • NPI 1417664905
  NPD Authorized official
• Tzvetan Tzvetanov, Internal Medicine, LLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1447237854
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anna Jaques Hospital

  • General Acute Care Hospital
  • Newburyport, MA
  • NPI 1992779482
  Care Compare affiliation

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1619334794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 TURNPIKE ST STE 201",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456138",
            "telephone_number": "978-258-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 TURNPIKE ST STE 201",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456138",
            "telephone_number": "978-258-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCI",
        "first_name": "KATHLEEN",
        "credential": "MSN RN CNL AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN205357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Previte, M.D.
• Julia M Pridgen
• Siobhan Pritt, OTR/L
• Amber M Prudhomme, OTR/L
• Jacquelyn S Psoinos, CPNP
• Pulley Chiropractic & Acupuncture, LLC
• Janine Marie Ling Pulley, D.C.
• Pulmonary Practice of Merrimack Valley, P.C.
• Pulsecare Medical, LLC
• Quality Diagnostic Labs LLC

• Primary Care Nurse Practitioner in North Andover, MA
• Providers in North Andover, 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 Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.