Active NPI
Kristen M. Haddon, DO
- Pediatric Adolescent Medicine Physician
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 259015
- Practice address
- 355 Waverly Oaks Rd Ste 125
Waltham, MA 02452-8481 - Phone
- (781) 891-3706
- Fax
- (781) 891-3564
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 259015 | MA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 259015 | MA | Primary |
Addresses
Primary practice location
355 Waverly Oaks Rd Ste 125
Waltham, MA 02452-8481
Mailing address
330 Mt Auburn St
Parsons 2
Cambridge, MA 02138-5597
Phone (781) 891-3706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110100722A | Medicaid | MA |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259015 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Auburn Professional Services Inc | Current | Accepting new patients | |
| Mt Auburn Professional Services | Current | Accepting new patients |
Locations
330 Mount Auburn St
#2
Cambridge, MA 02138
Phone (617) 499-5026
57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500
355 Waverly Oaks Rd
Ste 200
Waltham, MA 02452
Phone (781) 647-6920
355 Waverly Oaks Rd
Ste 125
Waltham, MA 02452
Phone (781) 891-3706
465 Waverly Oaks Rd
Ste 100
Waltham, MA 02452
Phone (781) 643-7700
Interoperability endpoints
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
- khaddon253978@direct.bilh.masshiway.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1013375203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1659570380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MT AUBURN ST",
"address_2": "PARSONS 2",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385597",
"telephone_number": "781-891-3706",
"fax_number": "781-891-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 WAVERLY OAKS RD STE 125",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024528481",
"telephone_number": "781-891-3706",
"fax_number": "781-891-3564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDON",
"first_name": "KRISTEN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "259015",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MA",
"license": "259015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110100722A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.