Active NPI
Kathrin G Hastey, FNPC
- Family Nurse Practitioner
- Bangor, ME
National Provider Identifier
1003944679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP81364
- Practice address
- 6 Telcom Dr
Bangor, ME 04401-3072 - Phone
- (207) 947-0147
- Fax
- (207) 990-3365
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP81364 | ME | Primary |
Addresses
Primary practice location
6 Telcom Dr
Bangor, ME 04401-3072
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307940099 | Medicaid | ME |
Other names 1
- Kathrin G Rockness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP81364 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Alabama Comprehensive Health, Inc. | Past | Accepting new patients | |
| Sunbury Primary Care, P.a. | Family | Past | Accepting new patients |
| Sunbury Primary Care, P.a. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Bangor, ME
- NPI 1437242294
-
- Family Medicine Physician
- Bangor, ME
- NPI 1508939398
-
- Federally Qualified Health Center (FQHC)
- Lafayette, AL
- NPI 1356530372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1003944679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1599",
"city": "BANGOR",
"state": "ME",
"postal_code": "044021599",
"telephone_number": "207-404-8200",
"fax_number": "207-947-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TELCOM DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013072",
"telephone_number": "207-947-0147",
"fax_number": "207-990-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTEY",
"first_name": "KATHRIN",
"middle_name": "G",
"credential": "FNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP81364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307940099",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRIN",
"last_name": "ROCKNESS",
"middle_name": "G",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.