IndividualActive
Colleen Canavan
NPI 1225971070 · Obstetrics & Gynecology Nurse Practitioner · Waltham, MA
Provider details
- NPI number
- 1225971070
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN2344154 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 Second Ave
Waltham, MA 02451-1158
Phone: (781) 434-6500
Street-level locationGet directions
Mailing address
83 Guernsey St
Roslindale, MA 02131-2316
Additional practice locations (1)
- 1 Liberty Sq Fl 9Boston, MA 02109-4825Phone: (857) 244-6750
Registry dates
- Enumerated
- 2026-04-14
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.