CAROLYN A STICKNEY MD NPI 1154535318

NPI Information

  • NPI: 1154535318
  • Provider Name: CAROLYN A STICKNEY, MD
  • Classification: Pediatrics - 2080P0203X
  • Specialization: Pediatric Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 333 LONGWOOD AVE, LO 011
    CRITICAL CARE MEDICINE, BOSTON CHILDREN'S HOSPITAL
    BOSTON, MA
    ZIP 02115
  • Phone: (617) 355-4480

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NPI Details

Carolyn A Stickney, MD is a pediatric critical care medicine pediatrics in Boston, MA with 22 years of experience. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. Carolyn A Stickney, MD NPI is 1154535318. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2004

The provider's business location address is:

333 LONGWOOD AVE, LO 011
CRITICAL CARE MEDICINE, BOSTON CHILDREN'S HOSPITAL
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-4480

The NPI 1154535318 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 5/9/2007 and was last updated on 8/7/2015.

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
1207R00000XInternal Medicine57.009030OHIONo
2208000000XPediatrics57.009030OHIONo
32080P0204XPediatricsPediatric Emergency Medicine35-091362OHIONo
42080P0203XPediatricsPediatric Critical Care Medicine240053MASSACHUSETTSYes

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
1ST4236861MEDICARE PINOHIO
29959153OTHEROHIOAETNA
32839192MEDICAIDOHIO

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: 11/21/2025

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