MS. KATHLEEN MAHONEY (NPI# 1124067855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124067855 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN MAHONEY |
| Credential | MS ED |
| Practice Address |
440 Edmond Dr Dyer IN 46311-1523 |
| Practice Telephone | 2193221415 |
| Practice Fax Number | 2193221414 |
| Mailing Telephone | 2193221415 |
| Mailing Fax Number | 2193221414 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200676200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497276828 | Kathleen Tewey Mahoney | Nurse Practitioner | 7600 Osler Dr Ste 310, Towson, MD 21204-7702 | 2017-07-07 |
| 1417155607 | Kathleen Ann Mahoney | Chiropractor | 10 Brinkerhoff St, Plattsburgh, NY 12901-2901 | 2007-07-10 |
| 1093117970 | Kathleen Mahoney | Counselor | 1806 Highway 35, Suite 205g, Oakhurst, NJ 07755-2700 | 2014-09-22 |
| 1972841740 | Kathleen Susan Mahoney | Case Manager/Care Coordinator | 5820 Heritage Landing Dr, East Syracuse, NY 13057-9378 | 2013-01-29 |
| 1467725655 | Kathleen A Mahoney | Registered Nurse | 212 W Main St, Riverhead, NY 11901-2841 | 2012-02-17 |
| 1417278664 | Kathleen Elizabeth Mahoney | Pediatrics | 1120 15th St, Augusta, GA 30912-0004 | 2010-06-22 |
| 1609192517 | Kathleen Mahoney | Counselor | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2010-04-16 |
| 1548416076 | Kathleen Mahoney | Speech-Language Pathologist | 105 Victory Rd, Dorchester, MA 02122-3518 | 2008-08-15 |
| 1568621167 | Kathleen Mahoney | Internal Medicine | 330 Brookline Ave, Masco 423, Boston, MA 02215-5400 | 2008-06-09 |
| 1700935483 | Kathleen H Mahoney | Nurse Practitioner | 41 Mall Rd., Lahey Clinic, Burlington, MA 01805-0001 | 2007-01-10 |
| Street Address |
440 EDMOND DR |
| City | DYER |
| State | IN |
| Zip Code | 46311-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750339362 | Virginia E Bratcher | Day Training/Habilitation Specialist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2006-05-05 |
| 1619511524 | Breanna Walton | Occupational Therapist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2019-11-04 |
| 1124679048 | Brenda G Winkler | Occupational Therapist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2019-09-23 |
| 1336799345 | Hannah R Opat | Speech-Language Pathologist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2019-09-12 |
| 1306305040 | Rebecca M Dill | Occupational Therapist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2019-03-12 |
| 1023593134 | Staci Reyna | Developmental Therapist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2018-09-25 |
| 1659856763 | Andrea Seeley | Developmental Therapist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2018-09-25 |
| 1376028498 | Kelly Gonzalez | Developmental Therapist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2018-09-25 |
| 1588158067 | Paige Creighton | Occupational Therapist | 440 Edmond Dr, Dyer, IN 46311-2315 | 2018-06-19 |
| 1073018354 | Raelene S Harvey | Occupational Therapist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2018-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750339362 | Virginia E Bratcher | Day Training/Habilitation Specialist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2006-05-05 |
| 1669620712 | Ann L Hearn | Day Training/Habilitation Specialist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2008-09-03 |
| 1104973130 | Jennifer D Walters | Day Training/Habilitation Specialist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2007-01-04 |
| 1689614257 | Ivy L Hettrick | Day Training/Habilitation Specialist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2006-06-08 |
| 1740229475 | Kathryn Lee Bernath | Day Training/Habilitation Specialist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2006-06-06 |
| 1013954924 | Cathy Mary Jerome | Day Training/Habilitation Specialist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255976544 | Shenay Golden | Day Training/Habilitation Specialist | 9135 N Meridian St Ste B8, Indianapolis, IN 46260-1816 | 2019-11-11 |
| 1669031688 | Julia Phelps | Day Training/Habilitation Specialist | 1311 N Arlington Ave Ste 201, Indianapolis, IN 46219-3260 | 2019-06-12 |
| 1811453814 | Terry Anthony Webster Jr. | Day Training/Habilitation Specialist | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
| 1699240507 | Complete Tutoring & Mentoring LLC | Day Training/Habilitation Specialist | 8555 Cedar Place Dr Ste 112, Indianapolis, IN 46240-2344 | 2018-10-06 |
| 1275014789 | Charles Maurice Surrett | Day Training/Habilitation Specialist | 10608 Nassau St, Indianapolis, IN 46234-3183 | 2018-08-22 |
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1851883102 | Kathy K Gates | Day Training/Habilitation Specialist | 1304 Mornington Dr, Indianapolis, IN 46239-8608 | 2018-06-02 |
| 1669964110 | Stephanie D Cline | Day Training/Habilitation Specialist | 1912 Jones Pl, Kokomo, IN 46902-5084 | 2018-05-31 |
| 1306348529 | Aaron Barnett | Day Training/Habilitation Specialist | 12643 Pinetop Way, Noblesville, IN 46060-4629 | 2018-03-03 |
| 1871953364 | Res-care, Inc. | Day Training/Habilitation Specialist | 7561 W Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2016-02-26 |
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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.