Active NPI
Maureen Anne Kittredge, CNP
- Nurse Practitioner
- Newburyport, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN202493
- Practice address
- 25 Highland Ave
Newburyport, MA 01950-3894 - Phone
- (978) 463-1050
- NPI assigned
- May 11, 2009
- Last updated
- Aug 31, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 074375-23 | NH | |
| Nurse Practitioner | 363L00000X | RN67899 | ME | |
| Nurse Practitioner | 363L00000X | RN202493 | MA | Primary |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 202493 | MA | |
| Acupuncturist | 171100000X | 232119 | MA |
Addresses
Primary practice location
25 Highland Ave
Newburyport, MA 01950-3894
Mailing address
69 Whipple Rd
Kittery, ME 03904-1352
Other practice location 1
1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 432-1500
Other practice location 2
242 Green St
Gardner, MA 01440-1373
Phone (978) 630-6245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110015312A | Medicaid | MA |
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
- University of Massachusetts Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1000
789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232119 | MA | MD | Acupuncturist |
| RN202493 | MA | MD | Nurse Practitioner |
| RN67899 | ME | MD | Nurse Practitioner |
| 074375-23 | NH | MD | Nurse Practitioner |
| 202493 | MA | MD | Gerontology Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Heywood Memorial Hospital | Nurse Practitioner | Current | Accepting new patients |
| Newburyport Emergency Physicians, PLLC | Current | Accepting new patients | |
| Athol Memorial Hospital Incorporated | Nurse Practitioner | Current | Accepting new patients |
| Henry Heywood Memorial Hospital | Current | Accepting new patients |
Locations
2033 Main St
Athol, MA 01331
Phone (978) 249-1295
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Newburyport, MA
- NPI 1215724364
-
- Emergency Medical Services (Emergency Medicine) Physician
- Dover, NH
- NPI 1134155872
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
Nurse Practitioner
-
dba Heywood Hospital
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
Nurse Practitioner
-
- Emergency Medicine Physician
- Newburyport, MA
- NPI 1396793139
-
- Emergency Medicine Physician
- Dover, NH
- NPI 1417788811
-
dba Heywood Hospital
- Psychiatric Hospital Unit
- Gardner, MA
- NPI 1457685299
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburyport, MA
- NPI 1992779482
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1992939524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 WHIPPLE RD",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HIGHLAND AVE",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503894",
"telephone_number": "978-463-1050"
}
],
"practiceLocations": [
{
"address_1": "1 Parkland Dr",
"address_purpose": "LOCATION",
"city": "Derry",
"state": "NH",
"postal_code": "030382746",
"country_code": "US",
"telephone_number": "603-432-1500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "242 Green St",
"address_purpose": "LOCATION",
"city": "Gardner",
"state": "MA",
"postal_code": "014401373",
"country_code": "US",
"telephone_number": "978-630-6245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITTREDGE",
"first_name": "MAUREEN",
"middle_name": "ANNE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "074375-23",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "RN67899",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN202493",
"primary": true
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "MA",
"license": "202493",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "232119",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110015312A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.