Active NPI
Keri Garry, C-PNP
- Pediatric Nurse Practitioner
- Springfield, MA
National Provider Identifier
1699222695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN2299221
- Practice address
- 516 Carew St
Springfield, MA 01104-2330 - Phone
- (413) 787-2027
- Fax
- (413) 787-2012
- NPI assigned
- Sep 7, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN2299221 | MA | Primary |
Addresses
Primary practice location
516 Carew St
Springfield, MA 01104-2330
Mailing address
516 Carew St
Springfield, MA 01104-2330
Phone (413) 787-2027
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2299221 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
51 Blossom St
Boston, MA 02114
Phone (617) 722-3000
516 Carew St
Springfield, MA 01104
Phone (413) 787-2000
Organizations & group practices 4
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.
-
- Pediatric Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1285078444
-
- Pediatric Surgery Physician
- Boston, MA
- NPI 1366886525
-
- Rehabilitation Clinic/Center
- Springfield, MA
- NPI 1811611825
-
- Children's Hospital
- Chicago, IL
- NPI 1376656538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1699222695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042330",
"telephone_number": "413-787-2027",
"fax_number": "413-787-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042330",
"telephone_number": "413-787-2027",
"fax_number": "413-787-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRY",
"first_name": "KERI",
"credential": "C-PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2299221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.