Kaitlyn Kelly McTigue, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN2311960 Issued in MA

Practice address

78 Badger Cir
Milton, MA 02186-4022

Phone

(781) 724-2584

NPI assigned

Aug 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlyn Elizabeth Kelly Former name

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1922780972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BADGER CIR",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864022",
            "telephone_number": "781-724-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BADGER CIR",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864022",
            "telephone_number": "781-724-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTIGUE",
        "first_name": "KAITLYN",
        "middle_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2311960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "KELLY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory P McCormick, P.A.
• Jane Theresa McDonald, ATC
• Amanda McInnis
• Jessica J McKenna, OTR/L
• George Benson McManama Jr., M.D.
• Medical Center Orthotics and Prosthetics, LLC
• Gregg Raymond Melfi, DDS
• Babar Irfan Memon, M.D., M.SC.
• Andrea N. Meninno, LICSW
• Mental Health Wellness PLLC

• All providers in Milton, MA
• Women's Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.