Individual provider Active NPI

Kastle Francis Donovan, NP

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1174811897
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R190678 Issued in MD
Practice address
116 Defense Hwy
Suite 400
Annapolis, MD 21401-7027
Phone
(410) 897-9841
Fax
(410) 897-9852
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R190678 MD Primary

Addresses

Primary practice location

116 Defense Hwy
Suite 400
Annapolis, MD 21401-7027

Mailing address

116 Defense Hwy
Suite 400
Annapolis, MD 21401-7027
Phone (410) 897-9841

Other identifiers 1

IdentifierTypeStateIssuer
R190678OtherMDMARYLAND STATE LICENSE

Other names 1

  • Kastle Frances Cannon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110915000382 MD Practitioner - Nurse Practitioner 3072784495 Reassigns benefits to 2 organizations
I20250205000571 DC Practitioner - Nurse Practitioner 3072784495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R190678MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Family Medicine LLC CurrentSince Jul 1, 2016 Accepting new patients
Onsite Medical House Calls Family CurrentSince Jan 1, 2025 Accepting new patients
Onsite Medical Palliative Care LLC CurrentSince Jan 1, 2025 Accepting new patients
Titus C. Abraham, MD, LLC Past Accepting new patients

Locations

104 Ridgely Ave
Ste 302
Annapolis, MD 21401
Phone (410) 280-9500

Interoperability endpoints

  • Direct secure messaging: kastle.donovan.1@17833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17833/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1174811897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY",
            "address_2": "SUITE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017027",
            "telephone_number": "410-897-9841",
            "fax_number": "410-897-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY",
            "address_2": "SUITE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017027",
            "telephone_number": "410-897-9841",
            "fax_number": "410-897-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "KASTLE",
        "middle_name": "FRANCIS",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R190678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE LICENSE",
            "identifier": "R190678",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASTLE",
            "last_name": "CANNON",
            "middle_name": "FRANCES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.