NPIMap

Individual provider Active NPI

Katherine Waterman, N.P-C

  • Primary Care Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1962767905
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN278479 Issued in MA
Practice address
299 Carew St
Springfield, MA 01104-2301
Phone
(413) 732-8060
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN278479 MA Primary

Addresses

Primary practice location

299 Carew St
Springfield, MA 01104-2301

Mailing address

299 Carew St
Springfield, MA 01104-2301
Phone (413) 732-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121106000005 MA Practitioner - Nurse Practitioner 5597916288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chestnut Medical Associates, IncGroup PAC ID 5698718245, 7 clinicians

Practice addresses (Care Compare)

300 Birnie Ave
Suite 102
Springfield, MA 01107-1121
Phone (413) 734-4206

Hospital & facility affiliations

  • Caretenders Home health agency, Holyoke, MA, CCN 227584
  • Baystate Home Health Home health agency, W Springfield, MA, CCN 227011
  • Elara Caring Home health agency, Braintree, MA, CCN 227475
  • Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Medical Associates, Inc CurrentSince Dec 2, 2019 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

300 Birnie Ave
Ste 102
Springfield, MA 01107
Phone (413) 734-4206

300 Birnie Ave
Ste 102S
Springfield, MA 01107

Organizations & group practices 2

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 12

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1962767905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042301",
            "telephone_number": "413-732-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042301",
            "telephone_number": "413-732-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "KATHERINE",
        "credential": "N.P-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN278479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.