Individual provider Active NPI

Maureen Anne Kittredge, CNP

  • Nurse Practitioner
  • Newburyport, MA
National Provider Identifier
1992939524
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN202493 Issued in MA
Practice address
25 Highland Ave
Newburyport, MA 01950-3894
Phone
(978) 463-1050
NPI assigned
May 11, 2009
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110015312AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060207000728 MA Practitioner - Nurse Practitioner 1254346620 Reassigns benefits to 4 organizations
I20170810000731 NH Practitioner - Nurse Practitioner 1254346620 Reassigns benefits to 2 organizations

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
Newburyport Emergency Physicians, PLLCGroup PAC ID 4688193071, 55 clinicians

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

LicenseStateTypeSpecialty
232119MAMDAcupuncturist
RN202493MAMDNurse Practitioner
RN67899MEMDNurse Practitioner
074375-23NHMDNurse Practitioner
202493MAMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Heywood Memorial Hospital Nurse Practitioner CurrentSince Dec 14, 2010 Accepting new patients
Newburyport Emergency Physicians, PLLC CurrentSince Apr 30, 2025 Accepting new patients
Athol Memorial Hospital Incorporated Nurse Practitioner CurrentSince Jul 23, 2019 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Dec 14, 2010 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.