KATHLEEN MARY OCONNOR A.P.R.N. NPI 1457351017

NPI Information

NPI: 1457351017
Provider Name: KATHLEEN MARY OCONNOR, A.P.R.N.
Classification: Nurse Practitioner - 363LA2100X
Specialization: Acute Care
Entity Type: Individual
PECOS Registration: Yes
Address: 1527 ROUTE 12
GALES FERRY, CT
ZIP 06335
Phone: (860) 464-7253

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NPI Details

Kathleen Mary Oconnor, A.P.R.N. is an acute care nurse practitioner in Gales Ferry, CT. Kathleen Mary Oconnor, A.P.R.N. NPI is 1457351017. 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:

1527 ROUTE 12
GALES FERRY, CT
ZIP 06335-800
Phone: (860) 464-7253
Fax: (860) 464-7404

The NPI 1457351017 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 7/26/2005 and was last updated on 6/8/2023.

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	207R00000X	Internal Medicine		002732	CONNECTICUT	No
2	363LP2300X	Nurse Practitioner	Primary Care	002732	CONNECTICUT	No
3	363LA2100X	Nurse Practitioner	Acute Care	002732	CONNECTICUT	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 Issuer
1	400002732C703	OTHER	BCBS
2	020732	OTHER	CT CARE
3	2V6457	OTHER	HEALTHNET

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: 11/21/2025

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