Kevin Barry McDermott, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

E44558 Issued in CT

Practice address

74 Oakland Ave
Waterbury, CT 06710-1438

Phone

(203) 757-6592

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215027297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 OAKLAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101438",
            "telephone_number": "203-757-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 OAKLAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101438",
            "telephone_number": "203-757-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "KEVIN",
        "middle_name": "BARRY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CT",
            "license": "E44558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin F McCormack, APRN
• Leroy T McCoy, MA,BA,AA
• Joseph McCullough, MD
• Bianca McDaniel, LPCA
• Michelle B McDermott Lyons
• Lindsey McDermott, BS
• Marvia Rosemarie McDonald-Dias
• Neysa J. McDonald
• Robert J McDonald, MD
• Deshawn McFarlane

• Administrator Registered Nurse in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Administrator Registered Nurse in Connecticut

• 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.