KATHLEEN FLAHERTY (NPI# 1437690641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437690641 |
| Entity Type | Individual |
| Full Name | KATHLEEN FLAHERTY |
| Credential | PA-C |
| Practice Address |
2587 Ravenhill Dr Fayetteville NC 28303-5451 |
| Practice Telephone | 9103231543 |
| Practice Fax Number | 9104851257 |
| Mailing Telephone | 9103231543 |
| Mailing Fax Number | 9104851257 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-07035 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649605080 | Kathleen Flaherty | Clinical Nurse Specialist | 2600 Cleveland Ave Nw, Rh 201g, Canton, OH 44709-3308 | 2013-09-04 |
| 1578129581 | Kathleen M Flaherty | Nurse Practitioner | 2100 Dorchester Ave, Boston, MA 02124-5615 | 2019-05-15 |
| 1265755565 | Kathleen E Flaherty | Nurse Practitioner | 780 Canton Rd Ne Ste 400, Marietta, GA 30060 | 2010-03-01 |
| Street Address |
2587 RAVENHILL DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881190 | Robert K Matlack Jr. | Psychiatry & Neurology | 2587 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2005-06-14 |
| 1891341269 | Krysti Darlene Meridieth | Physician Assistant | 2587 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2019-08-12 |
| 1801455704 | Justin Phillip Strickland | Physician Assistant | 2587 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2019-06-13 |
| 1255861282 | Italia De'symone Graham | Social Worker | 2587 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2017-06-13 |
| 1457737397 | Lashawnda Mclaurin | Counselor | 2587 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2015-08-03 |
| 1609204601 | Rebecca Tom | Nurse Practitioner | 2587 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2013-10-29 |
| 1437581428 | Wendeline Mclain | Social Worker | 2587 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2013-08-01 |
| 1780922062 | Elise Davis | Counselor | 2587 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2013-01-22 |
| 1477856334 | Angela Dotterweich | Social Worker | 2587 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2010-12-15 |
| 1457543845 | Elisabeth Kay Hardy | Physician Assistant | 2587 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2007-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| 1578050480 | Marlee Anne Fallon | Physician Assistant | 4402 Medical Center Dr Ste 402, Fayetteville, NY 13066-6626 | 2018-04-16 |
| 1285149781 | Rebecca Anderson | Physician Assistant | 413 Owen Dr Ste 201, Fayetteville, NC 28304-3490 | 2017-12-06 |
| 1750807186 | Julia Niemi | Physician Assistant | 2409 Murchison Rd # B, Fayetteville, NC 28301-3519 | 2017-08-17 |
| 1548709991 | Pallavi Annamaneni | Physician Assistant | 2149 Valleygate Dr Ste 102, Fayetteville, NC 28304-3666 | 2017-02-17 |
| 1124457650 | Amanda Warden | Physician Assistant | 89 Cowley Hollow Rd, Fayetteville, TN 37334-6947 | 2013-11-05 |
| 1639473739 | Andrea Bethauser | Physician Assistant | 918 Hope Mills Rd, Fayetteville, NC 28304-4243 | 2011-01-04 |
| 1891928941 | Gladys Maria Rivero | Physician Assistant | 3450 Sandystone Cir, Fayetteville, NC 28311-2503 | 2009-08-24 |
| 1366524092 | Lisa Aldrin Rojeski | Physician Assistant | 4038 N Remington Dr, Suite 4, Fayetteville, AR 72703-6345 | 2006-10-20 |
| 1902829039 | Michael John Winn | Physician Assistant | 5511 Raeford Road, Suite 150, Fayetteville, NC 28304-2058 | 2006-07-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on KATHLEEN FLAHERTY.
| 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.