Active NPI
Corrina Marie Kent, FNP
- Family Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2302477
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3139117 | Medicaid | NH | |
| 110193152A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69346 | ME | MD | Registered Nurse |
| RN2302477 | MA | MD | Family Nurse Practitioner |
| 201427 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belonging Medical Group PLLC | Current | Accepting new patients | |
| Boston University Obstetrics and Gynecology Foundation, Inc. | Past | 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.
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1063459568
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.