Kathleen Tigue Andersen, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

LG0000293 Issued in DE

Practice address

4512 Kirkwood Highway
Suite 202
Wilmington, DE 19808

Phone

(302) 999-0137

Fax

(302) 999-1042

NPI assigned

Jul 19, 2006

Last updated

Oct 16, 2014By the provider in NPPES

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

Other identifiers 1

Other names 1

• Kathleen T Murray Former name

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southbridge Medical Advisory Council IncGroup PAC ID 8426967928, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFGGDD/Endpoint/IFGGDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southbridge Medical Advisory Council Inc

  dba Henrietta Johnson Medical Center

  • Federally Qualified Health Center (FQHC)
  • Wilmington, DE
  • NPI 1770699621
  Medicare reassignment Care Compare group NPD
• Southbridge Medical Advisory Council, Inc.

  dba Henrietta Johnson Medical Center Claymont

  • Federally Qualified Health Center (FQHC)
  • Claymont, DE
  • NPI 1760874549
  NPD
• Van Buren Medical Associates

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1306808332
  NPD (past)
• Vascular Specialists, P.a.

  dba Vascular Specialists of Delaware, P.A.

  • Vascular Surgery Physician
  • Newark, DE
  • NPI 1366716060
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1114946829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HWY",
            "address_2": "SUITE 202",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085123",
            "telephone_number": "302-999-0137",
            "fax_number": "302-999-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HIGHWAY",
            "address_2": "SUITE 202",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-999-0137",
            "fax_number": "302-999-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "KATHLEEN",
        "middle_name": "TIGUE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG0000293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001127242",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MURRAY",
            "middle_name": "T",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Zong Lee An, MD
• Anchor Residential Care, LLC
• Anchored in the Deep Counseling Services LLC
• Andels Home Care
• Carol Brumbalow Andersen, MD
• Amanda Anderson, PSY.D.
• Ashley Anderson
• Carla Anderson, OT
• Claudette Elizabeth Anderson, MD
• Donna Maria Anderson

• Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.