Active NPI
Kathleen McGowan
- Family Medicine Physician
- Naval Air Station JRB, TX
National Provider Identifier
1184600744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1940
- Practice address
- 1711 Doolittle Ave
Naval Air Station/ JRB, TX 76127-1133 - Phone
- (817) 729-5919
- Fax
- (817) 782-5949
- NPI assigned
- Dec 15, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1940 | IA | Primary |
Addresses
Primary practice location
1711 Doolittle Ave
Naval Air Station/ JRB, TX 76127-1133
Mailing address
1711 Doolittle Ave
Naval Air Station/ JRB, TX 76127-1133
Phone (817) 729-5919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1940 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184600744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 DOOLITTLE AVE",
"city": "NAVAL AIR STATION/ JRB",
"state": "TX",
"postal_code": "761271133",
"telephone_number": "817-729-5919",
"fax_number": "817-782-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 DOOLITTLE AVE",
"city": "NAVAL AIR STATION/ JRB",
"state": "TX",
"postal_code": "761271133",
"telephone_number": "817-729-5919",
"fax_number": "817-782-5949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "1940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naval Air Station JRB, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.