Individual provider Active NPI

Kara A Pouliot, PA

  • Medical Physician Assistant
  • Holyoke, MA
National Provider Identifier
1790207900
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA6832 Issued in MA
Practice address
575 Beech St
Holyoke, MA 01040-2223
Phone
(413) 534-2570
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA6832 MA Primary

Addresses

Primary practice location

575 Beech St
Holyoke, MA 01040-2223

Mailing address

6 Western View Rd
Holyoke, MA 01040-9782
Phone (413) 636-7888

Other practice location 1

759 Chestnut Street
Springfield, MA 01107-1619
Phone (413) 794-3233

Other practice location 2

550 1st Ave
New York, NY 10016-6402
Phone (413) 636-7888

Other names 1

  • Kara A Lacoste Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190409003192 MA Practitioner - Physician Assistant 6002189180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Mass Physician Associates IncGroup PAC ID 5799767109, 72 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Holyoke, MA 01040-6603

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2697

Hospital & facility affiliations

  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc CurrentSince Nov 2, 2024 Accepting new patients

Locations

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

Organizations & group practices 4

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.

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1790207900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WESTERN VIEW RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409782",
            "telephone_number": "413-636-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223",
            "telephone_number": "413-534-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Chestnut Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071619",
            "country_code": "US",
            "telephone_number": "413-794-3233",
            "fax_number": "413-794-9060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "413-636-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULIOT",
        "first_name": "KARA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA6832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "LACOSTE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.