Individual provider Active NPI

Kathleen Casamento, RN

  • Plastic Surgery Registered Nurse
  • Westborough, MA
National Provider Identifier
1639793375
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Registered NurseTaxonomy code 163WS0121X
License
RN199639 Issued in MA
Practice address
176 E Main St
Westborough, MA 01581-1763
Phone
(617) 755-2001
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WS0121X RN199639 MA Primary

Addresses

Primary practice location

176 E Main St
Westborough, MA 01581-1763

Mailing address

28 Juniper Rd
Upton, MA 01568-1481
Phone (617) 755-2001

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL westborough
CONNECT URL Symplast

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN199639MAMDPlastic Surgery Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1639793375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 JUNIPER RD",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "015681481",
            "telephone_number": "617-755-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 E MAIN ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811763",
            "telephone_number": "617-755-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAMENTO",
        "first_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "MA",
            "license": "RN199639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "westborough",
            "affiliation": "N",
            "address_1": "176 E Main St",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015811763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Symplast",
            "affiliation": "N",
            "address_1": "176 E Main St",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015811763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.