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

Mrs. Kristy Poulliot, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1689183014

Mrs. Kristy Poulliot, FNP-BC is a Nurse Practitioner in Sudbury, Massachusetts. Qualified in 2017, 9 years ago. Practices with Charles River Medical Associates, PC, a 119-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and Massachusetts.

Years since qualifying
9
Licensed in
CT, MA
In the registry since
2017
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

29 Hudson Rd Ste 3310
Sudbury, MA 01776-1753
Phone: (978) 443-8810
Fax: (978) 443-8839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2268086 (MA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN2268086 (MA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 7330 (CT)

Record details

NPI number1689183014
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 28, 2017
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024

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 Charles River Medical Associates, Pc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Sudbury