Mary Kathryn Donovan, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

731782 Issued in NY

Practice address

625 Delaware Ave Ste 204
Buffalo, NY 14202-1007

Phone

(716) 882-3151

Fax

(716) 886-4002

NPI assigned

May 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Bestself Behavioral Health, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orchard Park, NY
  • NPI 1891907507
  NPD (past)

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104354448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DELAWARE AVE STE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022017",
            "telephone_number": "716-842-0440",
            "fax_number": "716-842-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 DELAWARE AVE STE 204",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021007",
            "telephone_number": "716-882-3151",
            "fax_number": "716-886-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142021932",
            "country_code": "US",
            "telephone_number": "716-852-1117",
            "fax_number": "716-852-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "731782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "731782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Donofrio
• Kelly Donogher
• Kim Donoghue, LCSW
• Sharon Marie Donohue, MHC
• Andrea Marie Donovan, PA-C
• Maureen Therese Donovan, ANP
• Ravi Budhendra Doobay, M.D.
• Alexandria Marie Doody
• Alexandrea Doran, MSW
• John Thomas Doran, DO

• General Practice Registered Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.