Theresa Koloski

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN216962 Issued in MA

Practice address

38 Mulberry St # 204
PO Box 313
Leeds, MA 01053

Phone

(413) 727-3882

NPI assigned

Nov 2, 2017

Sex

Female

Sole proprietor

Yes

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

Merit-based Incentive Payment System (MIPS)

Final score

83.46 of 100Reported as group

Quality

61.91

Promoting interoperability

81

Improvement activities

40

Cost

65.46

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1790297448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 MAIN RD",
            "city": "GRANVILLE",
            "state": "MA",
            "postal_code": "010349705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MULBERRY ST # 204",
            "address_2": "PO BOX 313",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "01053",
            "telephone_number": "413-727-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOSKI",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN216962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kimball, LCSW
• Nicole Tan Kirchen, MD
• Jordan R Klebanow, LICSW
• Alice Gawron Knittel, PHARMD
• Janet Ellen Knowlton, MSW, LICSW
• Maria Korochenko, LICSW
• Jessica Lau Kosofsky, PHARMD
• Michael Krason, RRT
• Carolyn Larose Krause, RNCNP
• Aditiya Kumar

• Family Nurse Practitioner in Leeds, MA
• Providers in Leeds, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.