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

Kristen Kala Desandis, AG-ACNP, BC

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1093469793

Kristen Kala Desandis, AG-ACNP, BC is a Critical Care Medicine Nurse Practitioner in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022
What do these letters mean?
BC — Board Certified
Appended to another credential to show current board certification, as in APRN-BC.

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Practice location Address checks out

55 Fruit Street Attn: Central Credentialing Ofc
Boston, MA 02114
Phone: (617) 726-2212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence 549912241844 (MA)

Record details

NPI number1093469793
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP , BC
Sole proprietorNo
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022

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