Individual provider Active NPI

Kelly Garrity, FNP-BC

  • Family Nurse Practitioner
  • Whitman, MA
National Provider Identifier
1790592301
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2327550 Issued in MA
Practice address
312 Bedford St
Whitman, MA 02382-1859
Phone
(781) 792-6000
NPI assigned
Dec 17, 2024
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2327550 MA Primary

Addresses

Primary practice location

312 Bedford St
Whitman, MA 02382-1859

Mailing address

21 Bramblewood St
Bridgewater, MA 02324-2875
Phone (508) 577-7205

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
I20250303000074 MA Practitioner - Nurse Practitioner 1850812272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

312 Bedford St
Whitman, MA 02382-1859
Phone (781) 792-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2327550MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BMC Affiliated Physicians, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

30 Perwal St
Westwood, MA 02090
Phone (781) 375-3308

312 Bedford St
Whitman, MA 02382
Phone (781) 447-8700

Interoperability endpoints

  • Direct secure messaging: kelly.garrity.1@32866.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1790592301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BRAMBLEWOOD ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242875",
            "telephone_number": "508-577-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BEDFORD ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821859",
            "telephone_number": "781-792-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRITY",
        "first_name": "KELLY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2327550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitman, MA

Sources for this page

Verify at the official NPI Registry.