Active NPI
Kristen Lindgren MD PHD LLC
- Neurology with Special Qualifications in Child Neurology Physician
- Newton, MA
National Provider Identifier
1922554872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 267101
- Legal business name
- KRISTEN LINDGREN MD PHD LLC
- Doing business as
- Dr Kristen Lindgren
- Practice address
- 193 Oak St Ste 1
Newton, MA 02464-1453 - Phone
- (617) 762-1540
- Fax
- (617) 412-3064
- NPI assigned
- Aug 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristen Ann Lindgren, M.D., PH.D.
- Title
- Child Neurologist
- Phone
- (617) 762-1540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 267101 | MA | Primary |
Addresses
Primary practice location
193 Oak St Ste 1
Newton, MA 02464-1453
Mailing address
193 Oak St Ste 1
Newton, MA 02464-1453
Phone (617) 762-1540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110110774A | Medicaid | MA |
Other names 1
- Dr Kristen Lindgren
National Provider Directory
National Provider DirectoryLocations
193 Oak St
Ste 1
Newton Upper Falls, MA 02464
Phone (617) 641-0900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649980800000",
"number": "1922554872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 OAK ST STE 1",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641453",
"telephone_number": "617-762-1540",
"fax_number": "617-412-3064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 OAK ST STE 1",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641453",
"telephone_number": "617-762-1540",
"fax_number": "617-412-3064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTEN LINDGREN MD PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A",
"authorized_official_last_name": "LINDGREN",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CHILD NEUROLOGIST",
"authorized_official_telephone_number": "617-762-1540",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., PH.D."
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MA",
"license": "267101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110110774A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Kristen Lindgren",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dr Kristen Lindgren",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.