Individual provider Active NPI

Kenneth Anthony Pinette, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Amesbury, MA
National Provider Identifier
1629354170
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN264030 Issued in MA
Practice address
110 Haverhill Rd.
Suite 395
Amesbury, MA 01913
Phone
(978) 388-1456
Fax
(978) 388-1269
NPI assigned
Oct 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN264030 MA Primary

Addresses

Primary practice location

110 Haverhill Rd.
Suite 395
Amesbury, MA 01913

Mailing address

110 Haverhill Rd.
Suite 395
Amesbury, MA 01913
Phone (978) 388-1456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120111000032 MA Practitioner - Nurse Practitioner 4486820677 Practice locations: Amesbury, MA
I20190326003049 NH Practitioner - Nurse Practitioner 4486820677 Practice locations: Hampton Falls, NH

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

83 Lafayette Rd
Hampton Falls, NH 03844-2303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychiatric Medicine PC PastSince Oct 1, 2010 Accepting new patients

Organizations & group practices 1

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": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1629354170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD.",
            "address_2": "SUITE 395",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "01913",
            "telephone_number": "978-388-1456",
            "fax_number": "978-388-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD.",
            "address_2": "SUITE 395",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "01913",
            "telephone_number": "978-388-1456",
            "fax_number": "978-388-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINETTE",
        "first_name": "KENNETH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-28",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN264030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

Verify at the official NPI Registry.