DR. KATHLEEN FLYNN (NPI# 1801895149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801895149 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN FLYNN |
| Other Name | DR. KATHLEEN FLYNN |
| Credential | M.D. |
| Practice Address |
4551 New Bern Ave Ste 160 Raleigh NC 27610-1552 |
| Mailing Address |
260 Horizon Dr Raleigh NC 27615-4922 |
| Practice Telephone | 9198617793 |
| Mailing Telephone | 9194880015 |
| Mailing Fax Number | 9192770066 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2013-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2009-02005 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 034168 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001341685 | 05 | |
| NC | 5916114 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922576479 | Kathleen Flynn | Home Infusion | 1551 Church St, Holbrook, NY 11741-5204 | 2018-11-02 |
| 1063804375 | Kathleen Flynn | Counselor | 414 E 84th St, New York, NY 10028-6211 | 2015-02-24 |
| 1700297314 | Kathleen W Flynn | Licensed Practical Nurse | 65 Friendship Dr, Rocky Point, NY 11778-9655 | 2014-05-16 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1356681811 | Kathleen Elizabeth Flynn | Licensed Practical Nurse | 53 Prospect St, Smithtown, NY 11787-2716 | 2013-02-20 |
| 1447396775 | Kathleen Flynn | Speech-Language Pathologist | 105 Ridge Rd, Ridge, NY 11961-1015 | 2007-01-30 |
| 1285251918 | Kathleen M. Flynn | Social Worker | 315 Myers St, Lexington, VA 24450-2040 | 2020-06-29 |
| 1134634785 | Kathleen Ann Flynn | Physical Therapy Assistant | 863 Hathaway Rd, New Bedford, MA 02740-1916 | 2017-12-05 |
| 1457874968 | Kathleen Ann Flynn | Social Worker | 2501 W Lehigh Ave, Philadelphia, PA 19132-3207 | 2017-07-18 |
| 1003352022 | Kathleen Flynn | Dietitian, Registered | 1025 Massachusetts Ave, Arlington, MA 02476-4503 | 2017-01-14 |
| Street Address |
4551 NEW BERN AVE STE 160 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587904 | Danielle Nicole Lewis | Nurse Practitioner | 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 | 2020-08-03 |
| 1295386886 | Aubrey Michelle Woodson | Nurse Practitioner | 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 | 2019-09-25 |
| 1255991295 | Heather Lannette Dellinger | Nurse Practitioner | 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 | 2019-06-20 |
| 1710278080 | Growing Child Office Meds, Inc. | Pharmacy | 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 | 2011-04-21 |
| 1730406133 | Sophia Nadine Stephens | Nurse Practitioner | 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 | 2010-04-23 |
| 1265590426 | Kathryn Anne Wood Calvillo | Advanced Practice Midwife | 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 | 2006-12-04 |
| 1073626974 | Soma Johnkutty | Pediatrics | 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165187 | Breana Lee Chappuis | Pediatrics | 4605 Lord Mario Ct, Raleigh, NC 27610-8718 | 2019-10-10 |
| 1295217008 | Centricity Care, Pllc | Pediatrics | 2417 Bryarton Woods Dr, Raleigh, NC 27606-4022 | 2018-08-29 |
| 1073914024 | Little Oaks Pediatrics, Pllc | Pediatrics | 13200 Strickland Rd Ste 120, Raleigh, NC 27613-5212 | 2014-09-09 |
| 1700144649 | Brett L Maclean | Pediatrics | 5240 Knollwood Rd, Raleigh, NC 27609-4512 | 2012-04-29 |
| 1134412943 | Michael David Brown | Pediatrics | 3000 Newbern Ave, Dept of Pediatrics, Raleigh, NC 27610 | 2011-05-26 |
| 1801041157 | James Gordon Still | Pediatrics | 4816 Oak Way, Raleigh, NC 27613-6346 | 2008-11-28 |
| 1427231943 | Mdfamily Medical Group | Pediatrics | 1100 N Raleigh Blvd Ste 111, Raleigh, NC 27610-1076 | 2007-12-06 |
| 1144415340 | Elizabeth Ann Briere | Pediatrics | 260 Horizon Dr, Raleigh, NC 27615-4922 | 2007-09-11 |
| 1285831347 | Mia N Armstrong | Pediatrics | 23 Sunnybrook Rd Ste 116, Raleigh, NC 27610-7401 | 2007-06-29 |
| 1558405498 | Ceyhun Ozturk | Pediatrics | 13200 Strickland Rd, Suite 120, Raleigh, NC 27613-5212 | 2007-02-16 |
| Find all providers in RALEIGH | ||||
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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.