Kaitlyn Carroll Ouellette, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

284183 Issued in MA

Practice address

529 Main St Ste 216
Charlestown, MA 02129-1122

Phone

(617) 600-3195

NPI assigned

Aug 16, 2013

Last updated

Aug 16, 2013By the provider in NPPES

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

Other names 1

• Kaitlyn Jayne Carroll Former name

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

Specialty

Nurse Practitioner

Education

University of Massachusetts Medical School, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.commonwealthcarealliance.org/fhir/patientaccess/
• Direct secure messaging: kaitlyn.ouellette@ccalliance.eclinicaldirectplus.com

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.

• Boston's Community Medical Group, Inc.

  dba CCA Primary Care

  • Primary Care Clinic/Center
  • Boston, MA
  • NPI 1235174418
  Medicare reassignment NPD
• Harborstone Care

  • Nurse Practitioner
  • North Attleboro, MA
  • NPI 1104610021
  NPD Authorized official
• Commonwealth Care Alliance

  • Health Maintenance Organization
  • Charlestown, MA
  • NPI 1295195162
  NPD (past)

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1851724553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 THORNDIKE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411510",
            "telephone_number": "774-254-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MAIN ST STE 216",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291122",
            "telephone_number": "617-600-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "KAITLYN",
        "middle_name": "CARROLL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "284183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "CARROLL",
            "middle_name": "JAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Celeste Oria, LCSW
• Alicia Orr, RD, LDN
• Iris Ortiz, RN
• Perla Karelys Ortiz
• Kimberly Stewart Osborne, LMHC
• Our Hopeful and Holistic Healing Center, PLLC.
• Sabrina Paganoni, MD, PHD
• Olivia C Palmer
• Panda Care Massachusetts Sub LLC
• Kellissa Anne Paquette, LICSW

• Adult Health Nurse Practitioner in Charlestown, MA
• Providers in Charlestown, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.