KATHRYN SEVERSON (NPI# 1932508819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932508819 |
| Entity Type | Individual |
| Full Name | KATHRYN SEVERSON |
| Credential | APN, WHNP-BC |
| Practice Address |
105 Vineyard Way Ste 200 West Grove PA 19390 |
| Mailing Address |
105 Vineyard Way Ste 200 West Grove PA 19390-8849 |
| Practice Telephone | 6104447550 |
| Practice Fax Number | 6104444656 |
| Mailing Telephone | 6104447550 |
| Mailing Fax Number | 6104444656 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | L1-0043433 | DE | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
SP017509 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
LH-0000209 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103520849 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821527979 | Kathryn Marie Severson | Speech-Language Pathologist | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2017-06-11 |
| Street Address |
105 VINEYARD WAY STE 200 |
| City | WEST GROVE |
| State | PA |
| Zip Code | 19390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447271804 | Stefanie Nelson Tyler | Nurse Practitioner | 105 Vineyard Way Ste 200, West Grove, PA 19390-8849 | 2006-07-21 |
| 1063901205 | La Comunidad Hispana Inc. | Clinic/Center | 105 Vineyard Way Ste 200, West Grove, PA 19390-8849 | 2018-05-03 |
| 1447709571 | La Comunidad Hispana Inc. | Clinic/Center | 105 Vineyard Way Ste 200, West Grove, PA 19390-8849 | 2016-09-30 |
| 1275877615 | Catherine Domanska Elliott | Nurse Practitioner | 105 Vineyard Way Ste 200, West Grove, PA 19390 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660323 | Patrick Michael Kiger | Physical Therapy Assistant | 200 Greenbriar Lane, West Grove, PA 19390 | 2019-07-05 |
| 1003190620 | Michael N Mount | Physical Therapist | One Commerce Blvd, Suite 103, West Grove, PA 19390 | 2011-09-30 |
| 1558511899 | Frank Farrell | Occupational Therapist | 8 West Meadow Court, West Grove, PA 19390 | 2008-09-23 |
| 1265691026 | Alexandra Cortese | Audiologist | 1 Commerce Boulevard, Suite 201, West Grove, PA 19390 | 2008-06-06 |
| 1548441488 | Arthur B Belson Md | Ophthalmology | 1011 W Balt Pk 203, West Grove, PA 19390 | 2007-11-20 |
| 1669541553 | Avon Grove Charter School | Local Education Agency (LEA) | 110 E State Road, West Grove, PA 19390 | 2006-11-07 |
| 1205850831 | Linda Barkasy | Pediatrics | 455 Woodview Road, Suite 220, West Grove, PA 19390 | 2006-07-27 |
| 1427094531 | John Aaron | Internal Medicine | 900 West Baltimore Pike, Ste 101, West Grove, PA 19390 | 2006-06-20 |
| 1447238423 | Tim Mudgett-mcgeoch | Physical Therapist | 100 Sycamore Dr, Jenner's Pond Retirement Community, West Grove, PA 19390 | 2006-01-09 |
| 1134789597 | Josie Tate | Nurse Practitioner | 2000 Greenbriar Ln, West Grove, PA 19390 | 2019-06-18 |
| Find all providers in zip 19390 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447271804 | Stefanie Nelson Tyler | Nurse Practitioner | 105 Vineyard Way Ste 200, West Grove, PA 19390-8849 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770803 | Mwasnoh L Jebboe | Nurse Practitioner | 7740 Lucretia Mott Way Apt A, Elkins Park, PA 19027-1041 | 2020-11-04 |
| 1588284517 | Crystal Lee Lash | Nurse Practitioner | 9002 Knoll St, Allison Park, PA 15101-2725 | 2020-04-20 |
| 1770110264 | Kirsten Marie Bickert | Nurse Practitioner | 828 Creek Rd, Walnutport, PA 18088-9712 | 2020-03-24 |
| 1316588585 | Jaimie Sholinsky | Nurse Practitioner | 5401 Old York Rd Bldg Floor3, Philadelphia, PA 19141-3030 | 2019-09-30 |
| 1629531645 | Kathryn Jo Duray | Nurse Practitioner | 1450 Scalp Ave Ste 3b, Johnstown, PA 15904-3321 | 2019-04-08 |
| 1366900490 | Leigh Ferguson | Nurse Practitioner | 210 S 25th St Unit 1402, Philadelphia, PA 19103-5886 | 2019-03-07 |
| 1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
| 1073003760 | Enjoli Rogers | Nurse Practitioner | 495 Thomas Jones Way Ste 210, Exton, PA 19341-2553 | 2018-05-17 |
| 1992215693 | Luz Anuri Drummond | Nurse Practitioner | 834 Eaton Ave, Bethlehem, PA 18018-1832 | 2017-10-07 |
| 1306356498 | Donna Michelle Depalmo-wilson | Nurse Practitioner | 700 Spruce St Fl 2, Philadelphia, PA 19106-4022 | 2017-10-03 |
| Find all providers with the same taxonomy | ||||
| City | WEST GROVE |
| Zip Code | 19390 |
Please comment or provide details below to improve the information on KATHRYN SEVERSON.
| 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.