MS. KATHLEEN MARIE ANDOLINA RN CS PC NPI 1184796617

NPI Information

NPI: 1184796617
Provider Name: MS. KATHLEEN MARIE ANDOLINA, RN, CS, PC
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
82 MARLBOROUGH ST
BOSTON, MA
ZIP 02116
Phone: (774) 469-0299
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MS. Kathleen Marie Andolina, RN, CS, PC is a psychiatric/mental health and adult clinical nurse specialist in Boston, MA with 38 years of experience. MS. Kathleen Marie Andolina, RN, CS, PC NPI is 1184796617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

82 MARLBOROUGH ST
BOSTON, MA
ZIP 02116-020
Phone: (774) 469-0299
Fax: (617) 250-8502

The NPI 1184796617 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 8/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	145820	MASSACHUSETTS	No
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	145820	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NS0126	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	MEDICARE
2	S53785	MEDICARE UPIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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