Individual provider Active NPI

Corrina Marie Kent, FNP

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1659978146
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2302477 Issued in MA
Practice address
11 Melnea Cass Blvd
Boston, MA 02119-4401
Phone
(617) 414-2080
Fax
(617) 414-2090
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 69346 ME
Family Nurse Practitioner 363LF0000X 201427 ME
Family Nurse Practitioner 363LF0000X RN2302477 MA Primary

Addresses

Primary practice location

11 Melnea Cass Blvd
Boston, MA 02119-4401

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690

Other practice location 1

254 Harry Howes Rd
Sanford, ME 04073-5434
Phone (603) 534-3964

Other identifiers 2

IdentifierTypeStateIssuer
3139117MedicaidNH
110193152AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, 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
I20201222001465 ME Practitioner - Nurse Practitioner 5799197455 Reassigns benefits to 1 organization
I20230530000618 NH Practitioner - Nurse Practitioner 5799197455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Belonging Medical Group PLLCGroup PAC ID 8022443878, 39 clinicians

Practice addresses (Care Compare)

25 Green St
Lebanon, NH 03766-1706
Phone (866) 679-0831

456 Union St
Manchester, NH 03103-5215
Phone (866) 679-0831

7 Oak Hill Ter
Suite 205
Scarborough, ME 04074-8996
Phone (866) 679-0831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69346MEMDRegistered Nurse
RN2302477MAMDFamily Nurse Practitioner
201427MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Belonging Medical Group PLLC CurrentSince Aug 12, 2022 Accepting new patients
Boston University Obstetrics and Gynecology Foundation, Inc. PastSince Oct 1, 2022 Accepting new patients

Locations

1900 W Park Dr
Ste 280
Westborough, MA 01581
Phone (508) 983-1425

103 India St
Portland, ME 04101
Phone (207) 874-8446

7 Oak Hill Ter
Ste 205
Scarborough, ME 04074

25 Green St
Lebanon, NH 03766
Phone (802) 478-0597

456 Union St
Manchester, NH 03103

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.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1659978146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MELNEA CASS BLVD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021194401",
            "telephone_number": "617-414-2080",
            "fax_number": "617-414-2090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Harry Howes Rd",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040735434",
            "country_code": "US",
            "telephone_number": "603-534-3964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENT",
        "first_name": "CORRINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "69346",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "201427",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2302477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3139117",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110193152A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.