Betty Kinzali, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN284471 Issued in MA

Practice address

950 Winter St Ste 3800
Waltham, MA 02451-1405

Phone

(508) 612-4588

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1699377622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WINTER ST STE 3800",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511405",
            "telephone_number": "978-413-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WINTER ST STE 3800",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511405",
            "telephone_number": "508-612-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZALI",
        "first_name": "BETTY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN284471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HealthInformationExchange",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "950 Winter St Ste 3800",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024511405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sungwan Kim, PHD, ATC
• Hervey L. Kimball III, MD
• Deborah King, PT
• Deidre Ann King, M.S. CCC-SLP
• Fiona Kinmonth, OTD
• Michelle Kirley, NP
• Jacob Matthew Kirsch, MD
• Anne Kirschner
• Elizabeth Kirstein, PA
• Nina Kischkum

• Gerontology Nurse Practitioner in Waltham, MA
• Providers in Waltham, MA by specialty
• Gerontology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.

Verify at the official NPI Registry.