Active NPIIndividual providerSole proprietor

Kathleen Broderick, NP

Nurse Practitioner, Family in North Reading, Massachusetts

NPI Number1255732293
Practice location
135 Main St Ste 206, North Reading, MA 01864-2280
Fax
—
Last updated
December 15, 2025

Kathleen Broderick is a Nurse Practitioner, Family based in North Reading, MA. Kathleen Broderick practices in North Reading, MA and has the professional credentials of NP. The NPI Number for Kathleen Broderick is 1255732293 and holds a License No. RN282504 (MA). The current practice location address for Kathleen Broderick is 135 Main St Ste 206, North Reading, MA 01864-2280 and can be reached out via phone at 617-905-1978.

Provider Profile Details

NPI Number
1255732293
Provider Name
Kathleen Broderick
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
135 Main St Ste 206, North Reading, MA 01864-2280
Phone Number
617-905-1978
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Other Names
Kathleen Logan (Former Name)
Provider Enumeration Date
September 9, 2014
Last Update Date
December 15, 2025
Certification Date
December 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
135 Main St Ste 206
North Reading, MA 01864-2280
Zip
01864-2280
Phone Number
617-905-1978
North Reading, MA 01864Get directions →

Provider Business Mailing Address Details

Address
290 Littleton RD Unit 3
Chelmsford, MA 01824-3429
City
Chelmsford
State
MA
Zip
01824-3429
Phone Number
978-258-4734

License Information

License Number
RN282504
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Kathleen Broderick, NP?

The NPI number of Kathleen Broderick, NP is 1255732293. It was assigned on September 9, 2014 and is currently active in the NPPES registry.

What is the specialty of Kathleen Broderick, NP?

Kathleen Broderick, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN282504.

Where does Kathleen Broderick, NP practice?

The practice location is 135 Main St Ste 206, North Reading, MA 01864-2280. The office can be reached at 617-905-1978 (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 1255732293 directly on the NPPES registry website.

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