Active NPI
Kristen T Proverb, MSN RN NPC
- Critical Care Medicine Nurse Practitioner
- Lowell, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- 258630
- Practice address
- 222 Merrimack St
Suite 300
Lowell, MA 01852 - Phone
- (978) 454-0706
- Fax
- (978) 654-7978
- NPI assigned
- Dec 15, 2006
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 258630 | MA | Primary |
Addresses
Primary practice location
222 Merrimack St
Suite 300
Lowell, MA 01852
Mailing address
222 Merrimack St
Suite 300
Lowell, MA 01852
Phone (978) 454-0706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14 Research PL
North Chelmsford, MA 01863-2460
Phone (978) 454-0706
Hospital & facility affiliations
- Lowell General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Surgical Associates of Lowell, P.C. | Current | Accepting new patients | |
| Orthopaedic Surgical Associates of Lowell, P.C. | Current | Accepting new patients |
Locations
222 Merrimack St
Ste 300
Lowell, MA 01852
Phone (617) 454-0706
14 Research Pl
North Chelmsford, MA 01863
Phone (978) 256-6607
41 Innovative Way
Nashua, NH 03062
Phone (603) 484-7710
23 Keewaydin Dr
Salem, NH 03079
Phone (603) 386-0272
Interoperability endpoints
- kristen.proverb.1@1154.direct.athenahealth.com
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.
-
- Orthopaedic Surgery Physician
- North Chelmsford, MA
- NPI 1457361040
NH
-
- Orthopaedic Surgery Physician
- Westford, MA
- NPI 1568055309
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992867873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MERRIMACK ST",
"address_2": "SUITE 300",
"city": "LOWELL",
"state": "MA",
"postal_code": "01852",
"telephone_number": "978-454-0706",
"fax_number": "978-654-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MERRIMACK ST",
"address_2": "SUITE 300",
"city": "LOWELL",
"state": "MA",
"postal_code": "01852",
"telephone_number": "978-454-0706",
"fax_number": "978-654-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVERB",
"first_name": "KRISTEN",
"middle_name": "T",
"credential": "MSN RN NPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "MA",
"license": "258630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.