Kathleen Ann O'Connor, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD00036380 Issued in WA

Practice address

2700 Evergreen Pkwy NW
Sem I, 2110
Olympia, WA 98505-0005

Phone

(360) 867-6200

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By the provider in NPPES

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1144499682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 EVERGREEN PKWY NW",
            "address_2": "SEM I, 2110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985050001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EVERGREEN PKWY NW",
            "address_2": "SEM I, 2110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985050005",
            "telephone_number": "360-867-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WA",
            "license": "MD00036380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy W Nyctea, LMP
• Gytha Christina Nydam
• Mary Abuk Kur Nyiel
• Sarah V M Nyland, MD
• Maia Basinger O'Brien, PT
• Sara Dawn Patt O'Dell, D.O.
• Karen Jeanne O'Donnell, OTR/L
• Casey O'Galleher, BSN, RN
• Mary Beth O'Keefe, RN
• Daniel O'Leary

• Public Health & General Preventive Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Public Health & General Preventive Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.