Individual provider Active NPI

Josephine Shaw, NP

  • Family Nurse Practitioner
  • Newburyport, MA
National Provider Identifier
1659098630
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2294780 Issued in MA
Practice address
6 Hale St
Newburyport, MA 01950-3502
Phone
(978) 462-7373
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2294780 MA Primary
Family Nurse Practitioner 363LF0000X 083418-23 NH

Addresses

Primary practice location

6 Hale St
Newburyport, MA 01950-3502

Mailing address

1 Orange St Apt 1
Newburyport, MA 01950-2878
Phone (508) 367-4359

Other names 1

  • Josephine Kilty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230404001028 NH Practitioner - Physician Assistant 6406221563 Reassigns benefits to 1 organization
I20230425001820 NH Practitioner - Nurse Practitioner 6406221563 Reassigns benefits to 1 organization
I20230609001996 MA Practitioner - Nurse Practitioner 6406221563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Massachusetts LLCGroup PAC ID 4688967763, 85 clinicians
CH Specialty Services Ma PCGroup PAC ID 9931571437, 87 clinicians

Practice addresses (Care Compare)

819 Worcester St
Suite 1
Springfield, MA 01151-1056
Phone (413) 604-5201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2294780MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Massachusetts LLC Family CurrentSince Oct 1, 2024 Accepting new patients
CH Specialty Services Ma PC CurrentSince Oct 1, 2024 Accepting new patients

Locations

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1659098630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ORANGE ST APT 1",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502878",
            "telephone_number": "508-367-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HALE ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503502",
            "telephone_number": "978-462-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JOSEPHINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2294780",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "083418-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "KILTY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.