Active NPI
Kaleigh Ann Mca'Nulty, PA-C
- Medical Physician Assistant
- Nashua, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1078
- Practice address
- 22 Prospect St
Nashua, NH 03060-3924 - Phone
- (603) 883-1626
- Fax
- (603) 881-9914
- NPI assigned
- Apr 11, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA4623 | MA | |
| Medical Physician Assistant | 363AM0700X | 1078 | NH | Primary |
Addresses
Primary practice location
22 Prospect St
Nashua, NH 03060-3924
Mailing address
675 Paramount Dr
Raynham, MA 02767-5416
Phone (508) 880-0012
Other practice location 1
675 Paramount Dr
Raynham, MA 02767-5416
Phone (508) 880-0012
Other practice location 2
738 Hooksett Rd
Manchester, NH 03104-2617
Phone (603) 384-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3100761 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Prospect St
Nashua, NH 03060-3924
Phone (603) 883-1626
7 Prospect St
Nashua, NH 03060-3921
Phone (603) 883-1626
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Lamprey Health Care Inc | Current | Accepting new patients | |
| Lamprey Health Care Inc | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Past | Accepting new patients |
Locations
3 Nashua Rd
Bedford, NH 03110
Phone (603) 472-6700
738 Hooksett Rd
Manchester, NH 03104
Phone (603) 384-3900
22 Prospect St
Nashua, NH 03060
Phone (603) 883-1626
7 Prospect St
Nashua, NH 03060
Phone (603) 816-7146
207 S Main St
Newmarket, NH 03857
Phone (603) 659-3106
111 New Hampshire Ave
Portsmouth, NH 03801
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
128 State Route 27
Raymond, NH 03077
125 Indian Rock Rd
Windham, NH 03087
Phone (603) 890-6330
Interoperability endpoints
- kaleigh.mca.nulty.1@28541.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Newmarket, NH
- NPI 1568412237
-
- Urgent Care Clinic/Center
- Nashua, NH
- NPI 1851082291
-
- Urgent Care Clinic/Center
- Plaistow, NH
- NPI 1730870171
-
dba Lamprey Health Care Mobile Health Unit
- Federally Qualified Health Center (FQHC)
- Raymond, NH
- NPI 1134702954
-
dba Lamprey Health Care-Nashua Center
- Federally Qualified Health Center (FQHC)
- Nashua, NH
- NPI 1841202512
-
- Urgent Care Clinic/Center
- Sturbridge, MA
- NPI 1386526192
-
- Urgent Care Clinic/Center
- Manchester, NH
- NPI 1952092397
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1245447994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1700229580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 PARAMOUNT DR",
"city": "RAYNHAM",
"state": "MA",
"postal_code": "027675416",
"telephone_number": "508-880-0012",
"fax_number": "508-880-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PROSPECT ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603924",
"telephone_number": "603-883-1626",
"fax_number": "603-881-9914"
}
],
"practiceLocations": [
{
"address_1": "675 Paramount Dr",
"address_purpose": "LOCATION",
"city": "Raynham",
"state": "MA",
"postal_code": "027675416",
"country_code": "US",
"telephone_number": "508-880-0012",
"fax_number": "508-880-0032",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "738 Hooksett Rd",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031042617",
"country_code": "US",
"telephone_number": "603-384-3900",
"fax_number": "603-384-3912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCA'NULTY",
"first_name": "KALEIGH",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA4623",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NH",
"license": "1078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3100761",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.