Nicole McKenna, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2317217 Issued in MA

Practice address

559 E 6TH St Unit 2
South Boston, MA 02127-3003

Phone

(617) 797-3290

NPI assigned

May 8, 2025

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1912797457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 E 6TH ST UNIT 2",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021273003",
            "telephone_number": "617-797-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 E 6TH ST UNIT 2",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021273003",
            "telephone_number": "617-797-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2317217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Massachusetts General Hospital
• Amy Donovan Matthews, MS, MED
• Ann Dawson McConnon
• Lori-Anne Troilo McElmoyle, LICSW
• Colleen E McHorney, MSW, LICSW
• Mary McPherson, LICSW
• Mohamed Azzam Mehssen, MD
• Melinda Tran LLC
• Michael F. Arcieri, D.M.D., Inc.
• Jordan Miranda, DPT

• Family Nurse Practitioner in South Boston, MA
• Providers in South Boston, 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 May 8, 2025; 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.