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

Kerry Ana Vittum, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1235663089

Kerry Ana Vittum, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in South Weymouth, Massachusetts. Qualified in 2018, 8 years ago. Practices with Coastal Medical Associates, a 446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2017
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

55 Fogg Rd
South Weymouth, MA 02190
Phone: (781) 624-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 243 Charles St, Boston, MA 02114 — (617) 804-4721

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN268888 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN268888 (MA)

Record details

NPI number1235663089
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 19, 2017
Last updated in NPPESSeptember 6, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Coastal Medical Associates — 446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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