Individual provider Active NPI

Kristen Rose Briody, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palmer, MA
National Provider Identifier
1700345717
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2318050 Issued in MA
Practice address
42 Wright Street
Palmer, MA 01069-1156
Phone
(413) 370-5285
Fax
(413) 370-5384
NPI assigned
Mar 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2318050 MA Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 8080 CT

Addresses

Primary practice location

42 Wright Street
Palmer, MA 01069-1156

Mailing address

280 Chestnut Street
2ND Floor
Springfield, MA 01199-1001
Phone (431) 794-5700

Other identifiers 1

IdentifierTypeStateIssuer
M19527OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190703002786 MA Practitioner - Nurse Practitioner 2062747579 Reassigns benefits to 1 organization
I20220321002230 NY Practitioner - Nurse Practitioner 2062747579

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

42 Wright St
Palmer, MA 01069-1156
Phone (413) 284-5285

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8080CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen Briody, LLC CurrentSince Feb 1, 2022 Accepting new patients
Baystate Medical Practices, Inc Psychiatric/Mental Health CurrentSince Jun 21, 2019 Accepting new patients

Locations

40 Wright St
Palmer, MA 01069
Phone (413) 284-5210

42 Wright St
Palmer, MA 01069
Phone (413) 284-5285

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

107 W Main St
East Islip, NY 11730
Phone (631) 666-1615

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1700345717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT STREET",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "431-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WRIGHT STREET",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691156",
            "telephone_number": "413-370-5285",
            "fax_number": "413-370-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIODY",
        "first_name": "KRISTEN",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2318050",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CT",
            "license": "8080",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M19527",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, MA

Sources for this page

Verify at the official NPI Registry.