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

Kiersten Simone La Roche, PA

Individual provider Physician Assistant · NPI 1629692926

Kiersten Simone La Roche, PA is a Physician Assistant in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

850 Harrison Avenue Yacc 5
Boston, MA 02118-4001
Phone: (617) 414-2000
Fax: (617) 414-5798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8047 (MA)

Record details

NPI number1629692926
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022
Mailing address801 Albany Street, Fl G, Boston, MA 02119-3791

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