Active NPI
Kathleen Mary Maloney, APRN, BC
- School Nurse Practitioner
- Waltham, MA
National Provider Identifier
1922213792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Nurse Practitioner
- License
- 136886
- Practice address
- 415 South St Ms 034
Brandeis University Health Center
Waltham, MA 02454 - Phone
- (781) 736-3699
- Fax
- (781) 736-3675
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Nurse Practitioner | 363LS0200X | 136886 | MA | Primary |
Addresses
Primary practice location
415 South St Ms 034
Brandeis University Health Center
Waltham, MA 02454
Mailing address
14 Winterberry Dr
Franklin, MA 02038-4107
Phone (781) 736-3699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136886 | MA | MD | School Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922213792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WINTERBERRY DR",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "020384107",
"telephone_number": "781-736-3699",
"fax_number": "781-736-3675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SOUTH ST MS 034",
"address_2": "BRANDEIS UNIVERSITY HEALTH CENTER",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02454",
"telephone_number": "781-736-3699",
"fax_number": "781-736-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "MA",
"license": "136886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.