Individual provider Active NPI

Kate B Dupre, PHD APRN CS BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middleboro, MA
National Provider Identifier
1669549689
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
91975 Issued in MA
Practice address
17 W End Ave
Middleboro, MA 02346
Phone
(855) 872-7543
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 91975 MA Primary

Addresses

Primary practice location

17 W End Ave
Middleboro, MA 02346

Mailing address

592 Humphrey St
Swampscott, MA 01907-2655
Phone (508) 947-8551

Other identifiers 1

IdentifierTypeStateIssuer
1892762MedicaidMA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000257 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 6507894714 Reassigns benefits to 2 organizations
Practice locations: Middleboro, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 W End Ave
Middleboro, MA 02346-1941
Phone (508) 947-8551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
91975MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Treatment Center PLLC Psychiatric/Mental Health CurrentSince Oct 1, 2021 Accepting new patients
Volunteers of America of Massachusetts Inc CurrentSince Aug 20, 2016 Accepting new patients
The Family Center Past Accepting new patients

Locations

1419 Hancock St
Quincy, MA 02169
Phone (617) 328-0639

1419 Hancock St
Ste 200
Quincy, MA 02169
Phone (617) 770-9690

5 Post Office Sq
Taunton, MA 02780
Phone (508) 822-4027

1 Taunton Grn
Taunton, MA 02780
Phone (508) 822-4027

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/voamass/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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1669549689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 HUMPHREY ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072655",
            "telephone_number": "508-947-8551",
            "fax_number": "508-947-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W END AVE",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "02346",
            "telephone_number": "855-872-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPRE",
        "first_name": "KATE",
        "middle_name": "B",
        "credential": "PHD APRN CS BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "91975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1892762",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

Verify at the official NPI Registry.