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

Kimberly Reardon Banigan, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1306240429

Kimberly Reardon Banigan, CPNP is a Pediatric Nurse Practitioner in Boston, Massachusetts. Licensed in Illinois and Massachusetts. Registered with an NPI since 2014.

Licensed in
IL, MA
In the registry since
2014
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6162
Fax: (617) 730-0621
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN2316271 (MA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 209011064 (IL)

Record details

NPI number1306240429
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedOctober 17, 2014
Last updated in NPPESAugust 28, 2017

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