Organization Active NPI

Kathleen M Garrison

Doing business as K & J's Complete Woman

  • Durable Medical Equipment & Medical Supplies
  • Seven Fields, PA
National Provider Identifier
1093479867
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KATHLEEN M GARRISON
Doing business as
K & J's Complete Woman
Practice address
665 Castle Creek Drive Ext
Seven Fields, PA 16046-7872
Phone
(724) 553-5826
Fax
(724) 591-5276
NPI assigned
Oct 27, 2021
Last updated
Jan 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Kristin Smihal, CMF
Title
Ceo
Phone
(412) 835-5093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

665 Castle Creek Drive Ext
Seven Fields, PA 16046-7872

Mailing address

3901 Washington Rd Ste 302
MC Murray, PA 15317-2549
Phone (412) 835-5093

Other names 1

  • K & J's Complete Woman Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230711002239 PA DME Supplier - Medical Supply Company With Prosthetic Personnel 9638463177 Practice locations: Seven Fields, PA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kathleen M Garrison665 Castle Creek Drive Ext, Seven Fields, PA 16046-7872(724) 553-5826 Pneumatic Compression Devices and/or Supplies|Breast Prostheses and/or Accessories|Surgical Dressings|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jun 16, 2016

National Provider Directory

National Provider Directory
Tax ID family
Kathleen M Garrison2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2526 Monroeville Blvd
Ste 101
Monroeville, PA 15146
Phone (412) 646-4661

665 Castle Creek Drive Ext
Seven Fields, PA 16046
Phone (724) 553-5826

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1093479867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 WASHINGTON RD STE 302",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172549",
            "telephone_number": "412-835-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CASTLE CREEK DRIVE EXT",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467872",
            "telephone_number": "724-553-5826",
            "fax_number": "724-591-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN M GARRISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "SMIHAL",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-835-5093",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K & J's Complete Woman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "K & J's Complete Woman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seven Fields, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.