KATHLEEN MCCORMICK MERCER (NPI# 1104830843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104830843 |
| Entity Type | Individual |
| Full Name | KATHLEEN MCCORMICK MERCER |
| Other Name | KATHLEEN B MCCORMICK |
| Credential | APN |
| Practice Address |
611 S Dupont Highway Dover DE 19901-4507 |
| Mailing Address |
Po Box 191 Provider Enrollment Dept Rockland DE 19732-0191 |
| Practice Telephone | 3027412123 |
| Practice Fax Number | 3027412007 |
| Mailing Telephone | 3026516212 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | L10022291 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
LJ0000119 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 443301700 | 05 | |
| DE | N.P. PROFESSIONAL LICENSE | LJ0000119 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336555036 | Kathleen Mercer | Dietitian, Registered | 1 Richland Medical Park Dr Ste 410-420, Columbia, SC 29203-6834 | 2014-07-02 |
| 1457693285 | Kathleen Mercer | Social Worker | 16821 172nd Pl Ne, Woodinville, WA 98072-9626 | 2013-03-19 |
| 1770635088 | Kathleen Marie Mercer | Social Worker | 114 Harvest Ln, East Hartford, CT 06118-3526 | 2007-01-17 |
| Street Address |
611 S DUPONT HIGHWAY |
| City | DOVER |
| State | DE |
| Zip Code | 19901-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699894758 | Esperanza Maria Quezada | Nurse Practitioner | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2007-03-28 |
| 1508892001 | Maryellen Belisle | Nurse Practitioner | 789 Central Ave, Dover, NH 03820-2526 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432739 | Jessica Lynn Pajak | Nurse Practitioner | 875 Aaa Blvd Ste C, Newark, DE 19713-3624 | 2019-08-15 |
| 1891234563 | Christina Marie Fischer | Nurse Practitioner | 3521 Silverside Rd Ste 1b, Wilmington, DE 19810-4900 | 2017-02-14 |
| 1366850547 | Amber Lewis | Nurse Practitioner | 4735 Ogletown-stanton Rd Map 2 Suite 1116, Newark, DE 19713 | 2014-07-31 |
| 1194140400 | Lorna A Divino | Nurse Practitioner | 200 Cleaver Farms Rd Ste 201, Middletown, DE 19709 | 2014-02-24 |
| 1821345018 | Winifred S. O. Mellinger | Nurse Practitioner | 122 Silver Lake Road, Middletown School Based Health Center, Middletown, DE 19709 | 2012-08-07 |
| 1831371871 | Dana L Silverman | Nurse Practitioner | 45 Stonewold Way, Greenville, DE 19807-2566 | 2007-12-01 |
| 1942413448 | Diane Jeane Disabatino | Nurse Practitioner | 963 Centre Rd, New Castle County Detention Medical, Wilmington, DE 19805-1268 | 2007-05-08 |
| 1497877260 | Elizabeth O'rourke Sweet | Nurse Practitioner | 501 Ogletown Rd, Hudson State Service Center, Child Health Clinic, Newark, DE 19711-5403 | 2007-04-04 |
| 1164569588 | Martha Coppage-lawrence | Nurse Practitioner | 2575 Glasgow Ave, Newark, DE 19702-4747 | 2007-02-01 |
| 1588728232 | Glenda K Mclean | Nurse Practitioner | 2501 Ebright Rd, Wilmington, DE 19810-1125 | 2006-12-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.