Active NPI
Kathleen T Cumming
- Nurse Practitioner
- Weymouth, MA
National Provider Identifier
1710965553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 141376
- Practice address
- 90 Libbey Ind Parkway
Weymouth, MA 02189 - Phone
- (781) 682-5900
- NPI assigned
- Jan 3, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 141376 | MA | Primary |
Addresses
Primary practice location
90 Libbey Ind Parkway
Weymouth, MA 02189
Mailing address
75 Washington St
Norwell, MA 02061-9147
Phone (781) 878-5200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0325091 | Medicaid | MA | |
| 04 2297845 | Other | MA | TRICARE |
| 04 2297845 | Other | MA | GREAT WEST HEALTH CARE |
| NP1552 | Other | MA | BCBS |
| 04 2297845 | Other | MA | DOC FIRST |
| 04 2297845 | Other | MA | PRIVATE HEALTHCARE SYST. |
Other names 1
- Kathleen Crowell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Healthcare Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1710965553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 WASHINGTON ST",
"city": "NORWELL",
"state": "MA",
"postal_code": "020619147",
"telephone_number": "781-878-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 LIBBEY IND PARKWAY",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "02189",
"telephone_number": "781-682-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMING",
"first_name": "KATHLEEN",
"middle_name": "T",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "141376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0325091",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "04 2297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTH CARE",
"identifier": "04 2297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NP1552",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOC FIRST",
"identifier": "04 2297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYST.",
"identifier": "04 2297845",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "CROWELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.