MS. KATHLEEN ROWAN MAHONEY (NPI# 1174565428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174565428 |
Entity Type | Individual |
Full Name | MS. KATHLEEN ROWAN MAHONEY |
Credential | CRNP, MSN, PHD |
Practice Address |
1900 N 9th St Suite 104 Philadelphia PA 19122-2024 |
Mailing Address |
1500 Market St Lm 500 West Tower Philadelphia PA 19102-2100 |
Practice Telephone | 2157656690 |
Practice Fax Number | 2157656694 |
Mailing Telephone | 2159852595 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2016-07-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
UP001097C | PA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | KEYSTONE MERCY HEALTH PLAN | 30027025 | 01 |
PA | BLUE CROSS | 1590259 | 01 |
PA | AETNA | 7934856 | 01 |
PA | KEYSTONE HEALTH PLAN EAST | 2268269000 | 01 |
PA | 0016148450001 | 05 | |
PA | BRAVO | 16621 | 01 |
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 |
1900 N 9TH ST SUITE 104 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19122-2024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811989692 | Megan Kelly | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2005-08-18 |
1043760200 | Kathleen Graham | Nurse Practitioner | 1900 N 9th St, Philadelphia, PA 19122 | 2016-10-11 |
1255780664 | Rebecca L Andriole | Psychologist | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-2024 | 2016-06-07 |
1871901819 | Naamah Cashaw-taylor | Registered Nurse | 1900 N 9th St, Philadelphia, PA 19122-2024 | 2014-07-22 |
1306277132 | Michelle Elizabeth Buchholz | Registered Nurse | 1900 N 9th St, Philadelphia, PA 19122-2024 | 2013-12-04 |
1710311345 | Jessica V Mcgill | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2013-08-30 |
1215370291 | Pharmacy of America Iv Inc. | Pharmacy | 1900 N 9th St, Philadelphia, PA 19122 | 2013-04-09 |
1508097502 | Emily Carla Dubitzky | Social Worker | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2009-08-07 |
1407934383 | Lori Hunter Dixon | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2006-11-01 |
1164464798 | Kathleen Boczar | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2006-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033719919 | Penn Diagnostic Co. | Clinic/Center | 2014 North 3rd St, Philadelphia, PA 19122 | 2020-10-29 |
1821639873 | Marshannie's Home Care, LLC | Home Health | 2143 N Front Street, Philadelphia, PA 19122 | 2019-10-01 |
1023679289 | 99 Adult Daycare II Inc | Home Health | 1533-39 N 7th St, Philadelphia, PA 19122 | 2019-06-27 |
1891232716 | Alexis Bender | Specialist/Technologist | 1801 Broad Street, Philadelphia, PA 19122 | 2017-01-30 |
1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
1316307192 | Vibrant Rehabilitation LLC | Occupational Therapy Assistant | 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 | 2016-03-07 |
1104285519 | Yi Liu | Occupational Therapy Assistant | 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 | 2016-02-12 |
1558754580 | Icare Home Health LLC | Home Health | 1706 N. 2nd Street, R2, Philadelphia, PA 19122 | 2015-03-16 |
1912313347 | Eve Peters | Pharmacist | 2131 North Broad Street, Philadelphia, PA 19122 | 2014-07-07 |
1356618003 | Mohamed Alaoui Mdaghri | Dentist | 2017 N 2nd St, Philadelphia, PA 19122 | 2011-11-23 |
Find all providers in zip 19122 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
1780185835 | Neva White | Nurse Practitioner | 211 S 9th St Ste 300, Philadelphia, PA 19107-6810 | 2018-02-23 |
1790298487 | Anne Kathryn Henner | Nurse Practitioner | 925 Chestnut St Ste 420a, Philadelphia, PA 19107-4247 | 2017-11-16 |
1174052997 | Cynthia Wheeler | Nurse Practitioner | 925 Chestnut St # 421d, Philadelphia, PA 19107-4216 | 2017-06-06 |
1740716893 | Liliya Gurevich | Nurse Practitioner | 7906 Frontenac St, Philadelphia, PA 19111-2902 | 2017-05-11 |
1235589664 | Juliana Omile | Nurse Practitioner | 7521 Woodcrest Ave, Philadelphia, PA 19151-2702 | 2016-06-16 |
1275980468 | Joji Thomas | Nurse Practitioner | 9659 Sandanne Rd, Philadelphia, PA 19115-2727 | 2016-05-18 |
1073988374 | Cristhi Wilson-brown | Nurse Practitioner | 521 W Girard Ave, Philadelphia, PA 19123-1428 | 2015-12-11 |
1932579984 | Tierney A Fisher | Nurse Practitioner | 3737 Market St Fl 10, Philadelphia, PA 19104-5545 | 2015-10-03 |
1306223813 | Anthony Yaroslav Fisun | Nurse Practitioner | 2008 President St, Philadelphia, PA 19115-2607 | 2015-05-04 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19122 |
Please comment or provide details below to improve the information on MS. KATHLEEN ROWAN MAHONEY.
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.