Kathy Connor

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

4704187095 Issued in MI

Practice address

747 E Eighth St
Traverse City, MI 49686-2662

Phone

(231) 346-5216

NPI assigned

Apr 7, 2022

Last updated

Apr 7, 2022By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Addiction Treatment Services, Inc.

  dba Dakoske Hall

  • Physician Assistant
  • Traverse City, MI
  • NPI 1629431713
  NPD (past)

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1174264576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862662",
            "telephone_number": "231-346-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862662",
            "telephone_number": "231-346-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "KATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "4704187095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Eileen Conlon, M.D.,
• Patricia Anne Conlon, NURSE PRACTITIONER
• Connective Counseling PLLC
• Eric Connick, OD
• Susan Connor-Herrera, LMSW
• Clifford Dean Conrad Jr., LPC
• Constance Baab, PHD, LMSW, PLLC
• Allison Cook
• Jill Elizabeth Cook, RDH
• Joseph N Cook, D.O.

• Addiction (Substance Use Disorder) Registered Nurse in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.