Kathleen P Selfe, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

155375A Issued in MA

Practice address

23 Acadia Rd
West Yarmouth, MA 02673-4850

Phone

(508) 771-0620

NPI assigned

Apr 28, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Leigh Anne Bains MD

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  • NPI 1689861791
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1104883420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEW ENGLAND GERIATRICS",
            "address_2": "1132 WESTFIELD STREET",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "01089",
            "telephone_number": "413-439-0090",
            "fax_number": "413-439-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ACADIA RD",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026734850",
            "telephone_number": "508-771-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELFE",
        "first_name": "KATHLEEN",
        "middle_name": "P",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "155375A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailee Olivia Putnam, LCSW
• Kimberly Reynolds
• Rachelle Rurycz, MSW
• Anmarie J Russo, OD
• Anna Mae Schemel, PHARMD
• John C. Serijan, D.M.D.
• Lisa Sheehan
• Barbara Stelle, MD
• Steven Caradimos DMD PC
• Tamara Sumpter

• Gerontology Nurse Practitioner in West Yarmouth, MA
• Providers in West Yarmouth, MA by specialty
• Gerontology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.