KATHLEEN ANNE O CALLAHAN (NPI# 1902976384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902976384 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANNE O CALLAHAN |
| Credential | NP |
| Practice Address |
140 Chandler St Pittsfield ME 04967-3711 |
| Mailing Address |
118 Moosehead Trl Ste 5 Newport ME 04953-4055 |
| Practice Telephone | 2074879244 |
| Practice Fax Number | 2074872834 |
| Mailing Telephone | 2073685189 |
| Mailing Fax Number | 2073684213 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP141113 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP149141 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | NP4250 | 01 |
| Street Address |
140 CHANDLER ST |
| City | PITTSFIELD |
| State | ME |
| Zip Code | 04967-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295258135 | Lindsay J Norton | Nurse Practitioner | 140 Chandler St, Pittsfield, ME 04967-3711 | 2017-07-24 |
| 1952637985 | Sebasticook Family Doctors | Clinic/Center | 140 Chandler St, Pittsfield, ME 04967-3711 | 2009-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700369667 | Cross Roads Case Management LLC | Case Management | 442 Main Street, Pittsfield, ME 04967 | 2018-09-07 |
| 1740493527 | Msad #53 | Local Education Agency (LEA) | 167 School Street, Suite A, Pittsfield, ME 04967 | 2007-05-08 |
| 1164580957 | Ciro Thomas Olivares | Social Worker | 12 Waverly Avenue, Pittsfield, ME 04967 | 2006-12-05 |
| 1851459465 | Waltz Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 166 North Main Street, Pittsfield, ME 04967 | 2006-12-05 |
| 1164525739 | Susan C Mcewen | Social Worker | 20 Waverly Ave, Pittsfield, ME 04967 | 2006-09-07 |
| 1467432955 | Robert John Schlager | Family Medicine | 447 N. Main Street, Pittsfield, ME 04967 | 2006-01-19 |
| 1407840309 | Flint C Reid | Optometrist | 453 Main Street, Pittsfield, ME 04967 | 2005-09-07 |
| 1699771980 | Sebasticook Valley Home Care | Home Health | 49 Main Street, Pittsfield, ME 04967 | 2005-06-22 |
| 1730593781 | Jeremy West | Chiropractor | 221 Somerset Ave, Pittsfield, ME 04967 | 2014-06-18 |
| 1598998916 | West Chiropractic LLC | Chiropractor | 221 Somerset Ave, Pittsfield, ME 04967 | 2009-09-02 |
| Find all providers in zip 04967 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932612280 | Kathryn Sondrini | Nurse Practitioner | 777 North St Fl 4, Pittsfield, MA 01201-4147 | 2017-11-08 |
| 1497065791 | Holly M Hunter | Nurse Practitioner | 163 South St Ste 2, Pittsfield, MA 01201-6875 | 2010-10-20 |
| 1083620314 | Emily B Cianchette | Nurse Practitioner | 470 Somerset Ave, Pittsfield, ME 04967-4928 | 2006-07-31 |
| 1134186992 | Laurie M Bank | Nurse Practitioner | 165 Tor Court, Hillcrest Family Health, Pittsfield, MA 01201 | 2006-04-27 |
| 1043277809 | Robin L Love | Nurse Practitioner | 777 North St Ste 207, Pittsfield, MA 01201-4123 | 2006-04-27 |
| 1962016345 | Alison Mary Smith Wynter | Nurse Practitioner | 73 Eagle St, Pittsfield, MA 01201-4714 | 2020-09-03 |
| 1457969677 | Danielle Lapierre | Nurse Practitioner | 20 Elm St, Pittsfield, MA 01201-6502 | 2020-07-14 |
| 1912546326 | Chris Wassell | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2020-01-02 |
| 1659919884 | Angela Avanzato | Nurse Practitioner | 20 Elm St, Pittsfield, MA 01201-6502 | 2019-12-18 |
| 1609424704 | Tiffany Poplaski | Nurse Practitioner | 20 Elm St, Pittsfield, MA 01201-6502 | 2019-08-31 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 04967 |
Please comment or provide details below to improve the information on KATHLEEN ANNE O CALLAHAN.
| 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.