Healthcare Provider Details

I. General information

NPI: 1083549943
Provider Name (Legal Business Name): KRISTIN ANN CATALANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 HIGHLAND AVE
NEEDHAM MA
02494-3036
US

IV. Provider business mailing address

1 WELLS AVE
NEWTON MA
02459-3226
US

V. Phone/Fax

Practice location:
  • Phone: 781-752-6857
  • Fax:
Mailing address:
  • Phone: 617-327-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberCHW11324
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: