Provider Type Icon

KATHERINE R AFFLECK APRN NPI 1134165889


NPI Information

NPI: 1134165889
Provider Name: KATHERINE R AFFLECK, APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: WENTWORTH DOUGLASS PHYSICIAN CORPORATION

PECOS Registration: Yes

Address:
10 MEMBERS WAY FL 5
DOVER, NH
ZIP 03820
Phone: (603) 609-6800
Get Directions

Katherine R Affleck, APRN is a primary care nurse practitioner in Dover, NH with 21 years of experience. Katherine R Affleck, APRN NPI is 1134165889. 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:

10 MEMBERS WAY FL 5
DOVER, NH
ZIP 03820-933
Phone: (603) 609-6800

The NPI 1134165889 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Urinalysis, manual test (HCPCS:81002)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 6/21/2006 and was last updated on 3/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyCNP81778MAINENo
2363LP2300XNurse PractitionerPrimary Care057151-23NEW HAMPSHIREYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13075965MEDICAIDNEW HAMPSHIRE
21134165889MEDICAIDMAINE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.