Active NPI
Anna Liza Tipgos Kilcoyne, FNP-C
- Family Nurse Practitioner
- Ludlow, MA
National Provider Identifier
1720569676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN237810
- Practice address
- 627 Randall Rd
Ludlow, MA 01056-1085 - Phone
- (413) 858-0119
- NPI assigned
- Aug 28, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN237810 | MA | Primary |
Addresses
Primary practice location
627 Randall Rd
Ludlow, MA 01056-1085
Mailing address
627 Randall Rd
Ludlow, MA 01056-1085
Other practice location 1
325 Alabama St
Ludlow, MA 01056-1089
Phone (413) 858-0929
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1720569676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 RANDALL RD",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010561085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 RANDALL RD",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010561085",
"telephone_number": "413-858-0119"
}
],
"practiceLocations": [
{
"address_1": "325 Alabama St",
"address_purpose": "LOCATION",
"city": "Ludlow",
"state": "MA",
"postal_code": "010561089",
"country_code": "US",
"telephone_number": "413-858-0929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILCOYNE",
"first_name": "ANNA LIZA",
"middle_name": "TIPGOS",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN237810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ludlow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.