Kathleen Fatica, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN156404L Issued in PA

Practice address

606 W 2ND St
Erie, PA 16507-1111

Phone

(814) 451-6700

Fax

(814) 451-6767

NPI assigned

Apr 17, 2007

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.

• County of Erie

  • Public Health or Welfare Agency
  • Erie, PA
  • NPI 1235355793
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174749428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W 2ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071111",
            "telephone_number": "814-451-6700",
            "fax_number": "814-451-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W 2ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071111",
            "telephone_number": "814-451-6700",
            "fax_number": "814-451-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATICA",
        "first_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "RN156404L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE PROVIDER NUMBER",
            "identifier": "1015985200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isued Farret Orio, PTA
• Amy Farris, DO
• Fast Care Lab Services LLC
• Frank A Fatica, DO
• Karen Lynn Fatica, SLP
• Lawrence John Fatica, DDS
• Mandy Ann Fauble, LCSW
• Anita Faulhaber
• Rebecca Faust, M.A., CCC-SLP
• Mary Federowicz, LPC

• Home Health Registered Nurse in Erie, PA
• Providers in Erie, PA by specialty
• Home Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.