Active NPI
Megan Kelleher, PA-C
- Physician Assistant
- Raynham, MA
National Provider Identifier
1952231102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA102782
- Practice address
- 675 Paramount Dr Ste 301
Raynham, MA 02767-5416 - Phone
- (781) 344-3535
- NPI assigned
- May 20, 2026
- Last updated
- Oct 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA102782 | MA | Primary |
Addresses
Primary practice location
675 Paramount Dr Ste 301
Raynham, MA 02767-5416
Mailing address
1 Kettle Point Ave
East Providence, RI 02914-5375
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1952231102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KETTLE POINT AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029145375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 PARAMOUNT DR STE 301",
"city": "RAYNHAM",
"state": "MA",
"postal_code": "027675416",
"telephone_number": "781-344-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEHER",
"first_name": "MEGAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-20",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA102782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raynham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.