KATHLEEN MCDONOUGH NPI 1851314470

NPI Information

NPI: 1851314470
Provider Name: KATHLEEN MCDONOUGH
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
525 PORTLAND AVE
MC: 952
MINNEAPOLIS, MN
ZIP 55415
Phone: (612) 348-3033
Get Directions

Kathleen Mcdonough is a women's health nurse practitioner in Minneapolis, MN. Kathleen Mcdonough NPI is 1851314470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

525 PORTLAND AVE
MC: 952
MINNEAPOLIS, MN
ZIP 55415-533
Phone: (612) 348-3033
Fax: (612) 348-7818

The NPI 1851314470 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	0929194	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	127557	OTHER	MINNESOTA	UCARE
2	HP29918	OTHER	MINNESOTA	HEALTHPARTNERS
3	0700840	OTHER	MINNESOTA	MEDICA
4	6982979	OTHER	MINNESOTA	EVERCARE
5	11F35MC	OTHER	MINNESOTA	BLUE CROSS/BLUE SHIELD
6	P13078	MEDICARE UPIN	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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