Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Havanidis

Individual provider Women's Health Nurse Practitioner · NPI 1205336419

Katherine Havanidis is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2017, 9 years ago. Practices with Althausen McGovern Assoc Inc, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2018
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Practice location Address checks out

1 Hawthorne Pl Ste 109
Boston, MA 02114-2333
Phone: (617) 523-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence RN2288161 (MA)

Record details

NPI number1205336419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 14, 2018
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Althausen McGovern Assoc Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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