Active NPIIndividual provider

Ketsy Caraballo

Case Manager/Care Coordinator in Roxbury, Massachusetts

NPI Number1164092011
Practice location
1059 Tremont St, Roxbury, MA 02120-2149
Fax
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Last updated
July 1, 2021

Ketsy Caraballo is a Case Manager/Care Coordinator based in Roxbury, MA. Ketsy Caraballo practices in Roxbury, MA. The NPI Number for Ketsy Caraballo is 1164092011. The current practice location address for Ketsy Caraballo is 1059 Tremont St, Roxbury, MA 02120-2149 and can be reached out via phone at 617-318-4153.

Provider Profile Details

NPI Number
1164092011
Provider Name
Ketsy Caraballo
Provider Entity Type
Individual
Gender
Female
Address
1059 Tremont St, Roxbury, MA 02120-2149
Phone Number
617-318-4153
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
No
Provider Enumeration Date
July 1, 2021
Last Update Date
July 1, 2021
Certification Date
July 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1059 Tremont St
Roxbury, MA 02120-2149
Zip
02120-2149
Phone Number
617-318-4153
Roxbury, MA 02120Get directions →

Provider Business Mailing Address Details

Address
1059 Tremont St
Roxbury, MA 02120-2149
City
Roxbury
State
MA
Zip
02120-2149
Phone Number
617-318-4153

License Information

Taxonomy
Case Manager/Care Coordinator · 171M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ketsy Caraballo?

The NPI number of Ketsy Caraballo is 1164092011. It was assigned on July 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Ketsy Caraballo?

Ketsy Caraballo is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Ketsy Caraballo practice?

The practice location is 1059 Tremont St, Roxbury, MA 02120-2149. The office can be reached at 617-318-4153 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164092011 directly on the NPPES registry website.

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