Healthcare Provider Details

I. General information

NPI: 1992259741
Provider Name (Legal Business Name): SARAH KAYE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WALNUT ST
WATERTOWN MA
02472-4054
US

IV. Provider business mailing address

260 ARSENAL PL
WATERTOWN MA
02472-3171
US

V. Phone/Fax

Practice location:
  • Phone: 888-897-1887
  • Fax: 857-343-8192
Mailing address:
  • Phone: 888-897-1887
  • Fax: 617-445-6538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberNP95024813.
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN2302757
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2302757
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: