KATHRYN M POULIN (NPI# 1417914359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417914359 |
| Entity Type | Individual |
| Full Name | KATHRYN M POULIN |
| Other Name | KATHRYN M KIELTY |
| Credential | PA |
| Practice Address |
40 Holland St Somerville MA 02144-2705 |
| Mailing Address |
147 Milk St Provider Enrollment - 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6176296000 |
| Practice Fax Number | 6176296070 |
| Mailing Telephone | 6175598053 |
| Mailing Fax Number | 6174213487 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363A00000X | Physician Assistant | 1291 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
1291 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306236567 | Kathryn Marion Poulin | Social Worker | 1111 Amsterdam Avenue, Scrymser 3rd Floor, Mt. Sinai St. Luke's, Institute for Advanced Medicine, New York, NY 10025 | 2015-01-27 |
| Street Address |
40 HOLLAND ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02144-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268360 | Karen Elline Newbold | Pediatrics | 40 Holland St, Somerville, MA 02144-2705 | 2005-07-14 |
| 1366922460 | Lisa Ruggiero | Nurse Practitioner | 40 Holland St, Somerville, MA 02144-2705 | 2018-08-17 |
| 1679072607 | James Gillan | Physical Therapist | 40 Holland St, Somerville, MA 02144-2705 | 2018-02-05 |
| 1114450459 | Ariela M Borkan | Midwife | 40 Holland St, Somerville, MA 02144-2705 | 2017-04-04 |
| 1740711506 | David Mccarthy | Family Medicine | 40 Holland St, Somerville, MA 02144-2705 | 2017-03-23 |
| 1336695303 | Nicole Douglas | Counselor | 40 Holland St, Somerville, MA 02144-2705 | 2016-08-30 |
| 1548716996 | Katherine Aurigemma | Nurse Practitioner | 40 Holland St, Somerville, MA 02144-2705 | 2016-08-26 |
| 1932552478 | Jordan Moore | Social Worker | 40 Holland St, Somerville, MA 02144-2705 | 2016-07-20 |
| 1255788600 | Whitney Hollands | Pharmacist | 40 Holland St, Somerville, MA 02144-2705 | 2016-05-16 |
| 1265888192 | Yi Liu | Physical Therapist | 40 Holland St, Somerville, MA 02144-2705 | 2016-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386106953 | Star Markets Company Inc | Durable Medical Equipment & Medical Supplies | 90 Causeway St, Boston, MA 02144 | 2019-04-03 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1275089575 | Nancy Landry Pllc | Family Medicine | Somerville Family Practice, 1020 Broadway, Somerville, MA 02144 | 2016-08-28 |
| 1982019451 | Wilson Garcia Acosta | Specialist | 278 Powderhouse, Somerville, MA 02144 | 2014-06-24 |
| 1376954289 | Jonathan Farr | Counselor | 1236 Broadway Ste 12, Somerville, MA 02144 | 2014-05-13 |
| 1356751945 | Christina Sakelarakis | Psychologist | 73 Fairfax St, Somerville, MA 02144 | 2014-05-05 |
| 1578905816 | Nicolle Woods | Behavioral Analyst | 58 Day St #441938, Somerville, MA 02144 | 2013-07-29 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1932363355 | Hang Le Ngo | Psychologist | 53 Chester Street, Somerville, MA 02144 | 2008-07-15 |
| Find all providers in zip 02144 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1891319315 | Taylor Lewis | Physician Assistant | 333 Great River Rd Apt 407, Somerville, MA 02145-1222 | 2020-06-01 |
| 1891318358 | Alexandra Brett Millard | Physician Assistant | 12 Linden Pl, Somerville, MA 02143-2256 | 2020-05-19 |
| 1972140572 | Hannah Kathryn Stackpole | Physician Assistant | 44 Russell Rd Apt 1, Somerville, MA 02144-1514 | 2019-12-03 |
| 1376098483 | Jon Michael Champagne | Physician Assistant | 30 Avon St, Apt 1, Somerville, MA 02143-1602 | 2016-08-18 |
| 1003288572 | Claire Wan | Physician Assistant | 57 Montrose St # 1, Somerville, MA 02143-1212 | 2015-10-23 |
| 1518108067 | Lauren Douglas | Physician Assistant | 600 Memory Ln, Somerville, TX 77879 | 2009-03-12 |
| 1255375044 | Jean Jorgensen | Physician Assistant | Somerset Medical Center, 110 Rehill Avenue, Somerville, NJ 08876 | 2006-06-15 |
| 1225095607 | Jason R Jannicelli | Physician Assistant | 110 Rehill Ave # 08876, Somerville, NJ 08876-2519 | 2006-04-28 |
| 1821621202 | Salma Haj-ibrahim | Physician Assistant | 56 Union Ave, Somerville, NJ 08876-2000 | 2020-02-13 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02144 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.