Active NPIIndividual providerSole proprietor

Kirsten A Weathers

Nurse Anesthetist, Certified Registered in Brockton, Massachusetts

NPI Number1588193312
Practice location
235 N Pearl St, Brockton, MA 02301-1794
Fax
—
Last updated
November 3, 2026

Kirsten Antoinette Weathers is a Nurse Anesthetist, Certified Registered based in Brockton, MA. Kirsten Antoinette Weathers practices in Brockton, MA. The NPI Number for Kirsten Antoinette Weathers is 1588193312 and holds a License No. 128204 (MA). The current practice location address for Kirsten Antoinette Weathers is 235 N Pearl St, Brockton, MA 02301-1794 and can be reached out via phone at 508-427-3000.

Provider Profile Details

NPI Number
1588193312
Provider Name
Kirsten Antoinette Weathers
Provider Entity Type
Individual
Gender
Female
Address
235 N Pearl St, Brockton, MA 02301-1794
Phone Number
508-427-3000
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Other Names
Kirsten Antoinette Mattila (Former Name)
Provider Enumeration Date
June 6, 2017
Last Update Date
November 3, 2026
Certification Date
November 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
235 N Pearl St
Brockton, MA 02301-1794
Zip
02301-1794
Phone Number
508-427-3000
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
City
Boston
State
MA
Zip
02118-2690
Phone Number
617-645-5841

License Information

License Number (1)
128204
License State (1)
MA
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (2)
APRN11038787
License State (2)
FL
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X

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 Kirsten A Weathers?

The NPI number of Kirsten A Weathers is 1588193312. It was assigned on June 6, 2017 and is currently active in the NPPES registry.

What is the specialty of Kirsten A Weathers?

Kirsten A Weathers is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MA under license number 128204.

Where does Kirsten A Weathers practice?

The practice location is 235 N Pearl St, Brockton, MA 02301-1794. The office can be reached at 508-427-3000 (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 1588193312 directly on the NPPES registry website.

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