Healthcare Provider Details

I. General information

NPI: 1427855220
Provider Name (Legal Business Name): KATHERINE J SACCO CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FEDERAL ST STE 220
GREENFIELD MA
01301-2592
US

IV. Provider business mailing address

55 FEDERAL ST STE 220
GREENFIELD MA
01301-2592
US

V. Phone/Fax

Practice location:
  • Phone: 413-225-2792
  • Fax:
Mailing address:
  • Phone: 413-225-2792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2362133
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: