Individual provider Active NPI

Kathryn Marie Ravenola

  • Certified Registered Nurse Anesthetist
  • Lawrence, MA
National Provider Identifier
1922795145
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN2316202 Issued in MA
Practice address
1 General St
Lawrence, MA 01841-2997
Phone
(978) 683-4000
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RN2316202 MA
Certified Registered Nurse Anesthetist 367500000X RN2316202 MA Primary

Addresses

Primary practice location

1 General St
Lawrence, MA 01841-2997

Mailing address

70 Constitution Rd
Boston, MA 02129-2038
Phone (860) 930-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230815001098 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991167520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Massachusetts LLCGroup PAC ID 8820350713, 37 clinicians
Lowell Anesthesiology Service IncGroup PAC ID 3072556141, 98 clinicians

Practice addresses (Care Compare)

300 C Faunce Corner Rd
Dartmouth, MA 02747-1257
Phone (508) 679-3131

300 Federal St
Suite 103
Andover, MA 01810-1038
Phone (978) 459-6737

33 Bartlett St
Suite 203
Lowell, MA 01852-1317
Phone (978) 689-4601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2316202MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell Anesthesiology Service, Inc. CurrentSince Feb 20, 2026 Accepting new patients
North American Partners in Anesthesia Massachusetts LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 2, 2023 Accepting new patients

Locations

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

33 Bartlett St
Ste 203
Lowell, MA 01852
Phone (978) 689-4601

300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Interoperability endpoints

  • Direct secure messaging: kathryn.ravenola.1@20039.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1922795145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CONSTITUTION RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021292038",
            "telephone_number": "860-930-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412997",
            "telephone_number": "978-683-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVENOLA",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "RN2316202",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2316202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.