Kayla Daudelin, CCLS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

130 Condor St
East Boston, MA 02128-1305

Phone

(401) 865-0876

NPI assigned

Jan 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1730840521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14134 BAY DR",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018864130",
            "telephone_number": "401-865-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CONDOR ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281305",
            "telephone_number": "401-865-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUDELIN",
        "first_name": "KAYLA",
        "credential": "CCLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna D'Aurora
• Sandra Dabora, MD, PHD
• Sara J Dale, LICSW
• Irving S. Danesh, M.D.
• Patricia Anne Dasilva, LICSW
• Nigel David
• Melissa J De Leon, CNP
• Kayla Jaimz Dean, RN
• Ana Carolina Del Castillo, MD
• Carmen Teresa Delgado, LICSW

• Case Manager/Care Coordinator in East Boston, MA
• Providers in East Boston, MA by specialty
• Case Manager/Care Coordinator in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.