KATHLEEN M KISSANE (NPI# 1477546117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477546117 |
| Entity Type | Individual |
| Full Name | KATHLEEN M KISSANE |
| Credential | RN, CRNP, MSN |
| Practice Address |
5500 Buckeystown Pike Frederick MD 21703-8331 |
| Mailing Address |
Po Box 277045 Atlanta GA 30384-7045 |
| Practice Telephone | 2403796045 |
| Practice Fax Number | 2403796050 |
| Mailing Telephone | 2405663330 |
| Mailing Fax Number | 2405663892 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2011-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R089131 | MD | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | R089131 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PVN | 1257868 | 01 | |
| MD | CERT. DIABETES ED. | 2221-0247 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609380161 | Kathleen Ann Kissane | Registered Nurse | 99 E State St, Gloversville, NY 12078-1203 | 2017-11-20 |
| Street Address |
5500 BUCKEYSTOWN PIKE |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-8331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161367 | Kathryn A. Fletcher | Nurse Practitioner | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2005-08-18 |
| 1912327412 | Linda Mino | Registered Nurse | 5500 Buckeystown Pike, Fmh Wellness, Frederick, MD 21701-2870 | 2014-04-23 |
| 1366862260 | Susan Baldwin | Registered Nurse | 5500 Buckeystown Pike, Fmh Wellness Center, Frederick, MD 21703-8331 | 2014-04-18 |
| 1366862419 | Janice Drass | Registered Nurse | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2014-04-16 |
| 1285069427 | Frederick Memorial Hospital Inc | Dietitian, Registered | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2013-09-06 |
| 1073859096 | Douglas W Shepard | Hearing Instrument Specialist | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2012-12-19 |
| 1073885372 | An Aid To Life, Inc | Hearing Instrument Specialist | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2012-02-01 |
| 1902110612 | Anupreet Chawla | Optometrist | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2010-08-05 |
| 1306175534 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 5500 Buckeystown Pike, Francis Scott Key Mall Ste #620, Frederick, MD 21703-8331 | 2009-12-17 |
| 1790945731 | Camille Rees | Nurse Practitioner | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518325497 | Sarah Jennings | Nurse Practitioner | 63 Thomas Johnson Dr Ste B, Frederick, MD 21702-4396 | 2016-02-05 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1184061053 | Theresa Wilhelm | Nurse Practitioner | 347 Ballenger Center Dr, Frederick, MD 21703-7095 | 2013-05-31 |
| 1700220175 | Selina M Jones | Nurse Practitioner | 201 Shorebird St, Ste B, Frederick, MD 21701-1962 | 2013-04-29 |
| 1053654541 | Chloe Nichols | Nurse Practitioner | 46b Thomas Johnson Drive, Suite 200, Frederick, MD 21702 | 2013-04-03 |
| 1629235189 | Carol A Hinrichs | Nurse Practitioner | 3770 Puritan Way, Unit E, Frederick, CO 80516-9463 | 2008-05-21 |
| 1043223795 | Sally Yvonne Farr | Nurse Practitioner | 1560 Opessumtown Pike, Ste 18, Frederick, MD 21702 | 2006-08-14 |
| 1073153805 | Young Lee | Nurse Practitioner | 182 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4486 | 2020-01-09 |
| 1194371344 | Stacy Winters | Nurse Practitioner | 814 Toll House Ave, Frederick, MD 21701-4519 | 2019-08-14 |
| 1912492653 | Behavioral Counseling Services of Washington County, Inc. | Nurse Practitioner | 427 E Patrick St, Frederick, MD 21701-5777 | 2018-06-26 |
| Find all providers in FREDERICK | ||||
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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.