Kellie M Decalogero, APRN
Nurse Practitioner in Burlington, Massachusetts
1437588803- Practice location
- 41 Mall Road, 41 Mall Road, Burlington, MA 01805
- Phone
- 781-744-8000
- Fax
- —
- Last updated
- August 11, 2021
Kellie Marie Decalogero is a Nurse Practitioner based in Burlington, MA. Kellie Marie Decalogero practices in Burlington, MA and has the professional credentials of APRN. The NPI Number for Kellie Marie Decalogero is 1437588803 and holds a License No. # 055508-23 (NH). The current practice location address for Kellie Marie Decalogero is 41 Mall Road, 41 Mall Road, Burlington, MA 01805 and can be reached out via phone at 781-744-8000.
Provider Profile Details
- NPI Number
- 1437588803
- Provider Name
- Kellie Marie Decalogero
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 41 Mall Road, 41 Mall Road, Burlington, MA 01805
- Phone Number
- 781-744-8000
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 6, 2013
- Last Update Date
- August 11, 2021
- Certification Date
- August 11, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 41 Mall Road
41 Mall Road
Burlington, MA 01805 - City
- Burlington
- State
- Massachusetts
- Zip
- 01805
- Phone Number
- 781-744-8000
Provider Business Mailing Address Details
- Address
- 41 Mall RD
41 Mall Road
Burlington, MA 01805 - City
- Burlington
- State
- MA
- Zip
- 01805
- Phone Number
- 781-744-8000
- Fax Number
- 781-744-2273
License Information
- License Number (1)
- # 055508-23
- License State (1)
- NH
- Taxonomy (1)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (2)
- RN2680606
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Kellie M Decalogero, APRN?
The NPI number of Kellie M Decalogero, APRN is 1437588803. It was assigned on November 6, 2013 and is currently active in the NPPES registry.
What is the specialty of Kellie M Decalogero, APRN?
Kellie M Decalogero, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NH under license number # 055508-23.
Where does Kellie M Decalogero, APRN practice?
The practice location is 41 Mall Road, 41 Mall Road, Burlington, MA 01805. The office can be reached at 781-744-8000 (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 1437588803 directly on the NPPES registry website.