Organization Active NPI

Kristen Lindgren MD PHD LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Newton, MA
National Provider Identifier
1922554872
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
267101 Issued in MA
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

Updated by the provider on Apr 15, 2022

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)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
110110774AMedicaidMA

Other names 1

  • Dr Kristen Lindgren Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.