NPI 1861149197 · live from the CMS NPI Registry
Kelley Basso, CPNP-PC
Nurse Practitioner, Pediatrics in Boston, MA. National Provider Identifier 1861149197, active.
NPI record
| NPI | 1861149197 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 300 Longwood Ave, Boston, MA 02115 |
| Practice phone | 617-355-6000 |
| Enumerated | March 7, 2022 |
| Last updated | November 10, 2025 |
| Sole proprietor | No |
| Other names | Kelley Bernard |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | RN2293628 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.