Individual provider Active NPI

Kathleen M James, NP

  • Pediatric Nurse Practitioner
  • Newton Lower Falls, MA
National Provider Identifier
1922376516
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN205276 Issued in MA
Practice address
2000 Washington Street
Suite 466
Newton Lower Falls, MA 02462
Phone
(617) 969-8989
Fax
(617) 928-0178
NPI assigned
Dec 9, 2011
Last updated
Dec 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN205276 MA Primary

Addresses

Primary practice location

2000 Washington Street
Suite 466
Newton Lower Falls, MA 02462

Mailing address

2000 Washington Street
Suite 466
Newton Lower Falls, MA 02462
Phone (617) 969-8989

Other identifiers 1

IdentifierTypeStateIssuer
RN205276OtherMARE/NP LICENSE

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN205276MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics at Newton Wellesley, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kjames12652@direct.chppoc.masshiway.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1922376516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON STREET",
            "address_2": "SUITE 466",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "02462",
            "telephone_number": "617-969-8989",
            "fax_number": "617-928-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON STREET",
            "address_2": "SUITE 466",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "02462",
            "telephone_number": "617-969-8989",
            "fax_number": "617-928-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN205276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RE/NP LICENSE",
            "identifier": "RN205276",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Lower Falls, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.