Kathleen Emilie O'Hara

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

515 Breman Ave
Mattydale, NY 13211-1229

Phone

(315) 454-3012

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1083385264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BREMAN AVE",
            "city": "MATTYDALE",
            "state": "NY",
            "postal_code": "132111229",
            "telephone_number": "315-454-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BREMAN AVE",
            "city": "MATTYDALE",
            "state": "NY",
            "postal_code": "132111229",
            "telephone_number": "315-454-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "KATHLEEN",
        "middle_name": "EMILIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt McArdell
• Melissa S McGloun, L.M.T
• Margaret Meleski
• Elizabeth Mitchell, LMT
• Marie Lynn Morin, LPN
• John Palazzoli, RPH
• Deborah Lynne Perry, LMT
• Beth Ann Raineri, LMT
• Samantha Marie Rawson, LMT
• Kimberly L Richer, LPN

• Attendant Care Provider in Mattydale, NY
• Providers in Mattydale, NY by specialty
• Attendant Care Provider in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.